220347 — Jaw Tissue Seal 25cm
Cite this view
HANK Price Transparency. (n.d.). JAW TISSUE SEAL 25CM (CDM 220347) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220347?code_type=CDM
“JAW TISSUE SEAL 25CM (CDM 220347) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220347?code_type=CDM. Accessed .
“JAW TISSUE SEAL 25CM (CDM 220347) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220347?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,084–$10,071 (25th–75th percentile) across 9 hospitals · 93 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220347 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION GENESYS HOSPITAL Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $0.79 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $0.79 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $2.62 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $2.62 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | BCCCP | 556_BCCCP 20210201 | $2.62 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCCCP | 556_BCCCP 20210201 | $2.62 | $2.62 | $1.10 | 2026-01-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $16,940.59 | $16,940.59 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $15,400.54 | $15,400.54 | 2024-10-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plans | MGMCD | $388.47 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Superior Health Plan | MGMCD | $416.22 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plans | MGMCD | $465.36 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Superior Health Plan | MGMCD | $498.60 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $601.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $601.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $601.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $601.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $601.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | PPO | $714.51 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | EPO | $714.51 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Oscar | POS | $714.51 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | IndividualFamilyPlanHIX | $749.20 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | EPO | $855.93 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | PPO | $855.93 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Oscar | POS | $855.93 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | IndividualFamilyPlanHIX | $897.48 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Optum Health | MCD | $944.46 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | CHIP | $1,092.70 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARKids | $1,092.70 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARPLUS | $1,092.70 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | MCDSTAR | $1,092.70 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARHealth | $1,092.70 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | IFP | $1,159.11 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Bienvivir Senior Health | COMM | $1,179.29 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | QHP | $1,202.04 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Imperial Insurance | MGMCR | $1,318.03 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Healthcare Highways | NarrowNetwork | $1,331.90 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | OpenAccessPlus | $1,359.65 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | HMO | $1,359.65 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | QHPHIX | $1,399.52 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueAdvantage | $1,401.27 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Bienvivir Senior Health | COMM | $1,412.70 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | PPO | $1,442.90 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Imperial Insurance | MGMCR | $1,578.90 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Healthcare Highways | NarrowNetwork | $1,595.52 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | HMO | $1,628.76 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | OpenAccessPlus | $1,628.76 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Imperial Insurance Company | MCR | $1,631.34 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueAdvantage | $1,678.62 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Religious Order of Jehovah Witness | LOGOV | $1,717.20 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior | ValueHMO | $1,717.20 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior | EPO | $1,717.20 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior | HMO | $1,717.20 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | PPO | $1,728.48 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Molina Healthcare | HIX | $1,734.25 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Oscar | HIX | $1,785.89 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | United | OptionsPPO | $1,845.99 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | OptionsPPO | $1,907.67 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | NewBusiness | $2,043.47 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Unicare | CHIP | $2,060.64 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Molina Healthcare | HIX | $2,077.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $2,103.57 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | IFP | $2,107.35 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | QHP-Exchange | $2,115.78 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $2,120.74 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | MyBlueHealth | $2,120.74 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Molina Healthcare | HIX | $2,146.50 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentialsAccess | $2,157.41 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentials | $2,157.41 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | QHP | $2,185.40 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | Meritain | $2,198.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | COMM | $2,198.02 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Evry Health | COMM | $2,215.19 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | LocalPlus | $2,266.70 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | NewBusiness | $2,266.70 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $2,275.34 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | OptionsPPO | $2,285.25 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | PPO | $2,386.33 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Shared Health | MGMCR | $2,427.95 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | BluePremier | $2,507.11 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | NetworkBenefit | $2,532.87 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | HMO | $2,532.87 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | OpenAccessPlus | $2,532.87 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | QHP-Exchange | $2,534.55 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | QHPHIX | $2,544.43 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | OON | $2,575.80 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentials | $2,584.41 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentialsAccess | $2,584.41 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Humana | COMM | $2,660.80 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $2,725.68 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $2,738.93 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | BlueEssentials | $2,738.93 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Curative Administrators | COMM | $2,774.80 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | PPO | $2,858.64 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | EPOSOA | $2,876.31 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Healthcare Highways | CityofPlano | $2,902.07 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Shared Health | MGMCR | $2,908.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | United | OptionsPPO | $2,934.68 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Imperial Insurance Company | MCR | $2,965.90 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | PPO | $3,005.10 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | First Health | COMM | $3,121.65 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | Accel | $3,121.65 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | GlobalBenefitPlan | $3,121.65 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | EPO | $3,122.00 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | ValueHMO | $3,122.00 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | HMO | $3,122.00 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | MGMCR | $3,191.02 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | AllOther | $3,202.58 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Oscar | HIX | $3,246.88 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Curative Administrators | COMM | $3,324.00 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | Meritain | $3,350.57 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | COMM | $3,350.57 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Unicare | CHIP | $3,434.20 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Prominence Health Plan | HIX | $3,434.40 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Curative Administrators | COMM | $3,434.40 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $3,468.50 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Ysleta Del Sur Pueblo | COMM | $3,468.50 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | NewBusiness | $3,715.18 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | First Health | COMM | $3,739.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | GlobalBenefitPlan | $3,739.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | Accel | $3,739.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | Traditional | $3,812.18 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SouthWest Medical Provider Network | COMM | $3,815.35 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | COMM | $3,815.35 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | MGMCR | $3,822.60 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Healthcare Highways | NarrowNetwork | $3,824.45 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | MyBlueHealth | $3,855.67 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | BlueAdvantageHMO | $3,855.67 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Fidelis SecureCare | MGMCR | $3,863.70 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | City of McKinney | COMM | $3,863.70 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Molina Healthcare | HIX | $3,902.50 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | OON | $3,940.22 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Aetna | ASA | $3,954.09 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | COMM | $3,996.16 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | Meritain | $3,996.16 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | Meritain | $4,013.73 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | COMM | $4,013.73 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Evry Health | COMM | $4,027.38 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | NewBusiness | $4,121.04 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | LocalPlus | $4,121.04 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $4,155.00 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Ysleta Del Sur Pueblo | COMM | $4,155.00 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plan | COMM | $4,162.20 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Prime Health | WC | $4,162.20 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Advantage Care Network | PPO | $4,162.20 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $4,207.14 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | National ChoiceCare | WCOMP | $4,293.00 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Texas Workforce Commission | WCOMP | $4,370.31 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | PHCS | PPO | $4,509.05 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Multiplan | COMMPPO | $4,509.05 | $6,937.00 | $6,937.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | ASA | $4,524.82 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | BluePremier | $4,558.12 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | COMM | $4,570.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SouthWest Medical Provider Network | COMM | $4,570.50 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | NetworkBenefit | $4,604.95 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | HMO | $4,604.95 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | OpenAccessPlus | $4,604.95 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | OON | $4,683.00 | $15,610.00 | $15,610.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Aetna | OON | $4,720.08 | $8,310.00 | $8,310.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna Lifesource | COMM | $4,722.30 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | WCOMP | $4,722.30 | $8,586.00 | $8,586.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | PC Texas Partners | WCOMP | $4,722.30 | $8,586.00 | $8,586.00 | 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.