220521 — Diltiazem Hcl 30 Mg Tab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DILTIAZEM HCL 30 MG TAB (CDM 220521) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220521?code_type=CDM
MLA (9th ed.)
“DILTIAZEM HCL 30 MG TAB (CDM 220521) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220521?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DILTIAZEM HCL 30 MG TAB (CDM 220521) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220521?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3–$16,384 (25th–75th percentile) across 6 hospitals · 79 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220521 — 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 | MCD | $0.84 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.84 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $0.89 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $1.02 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $1.02 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $1.02 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $1.05 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $1.14 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HIX | $1.15 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HMO | $1.15 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | POS | $1.28 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | EPO | $1.28 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | PPO | $1.28 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA | HIX | $1.41 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $1.49 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $1.64 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $1.64 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $1.73 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $1.75 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $1.77 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $1.78 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $1.80 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $1.80 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $1.91 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $1.92 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $1.92 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $1.93 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | HMO | $2.05 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $2.05 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | OpenAccess | $2.05 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $2.10 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | QHPExchange(HIX) | $2.14 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | EPO | $2.16 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $2.21 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $2.22 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $2.22 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA Health | PPO | $2.22 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $2.22 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $2.22 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $2.34 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Curative Administrators | COMM | $2.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $2.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Cigna | PPO | $2.46 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $2.52 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | MCLAREN HMO MEDICARE | 565_MACLAREN HELATH PLAN 20210601 | $2.52 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | NarrowNetwork | $2.69 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $2.70 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $2.70 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $2.70 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $2.70 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $2.70 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | Meritain | $2.85 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | SMART HEALTH | 597_SMARTHEALTH 20210201 | $2.85 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | SMART HEALTH | 597_SMARTHEALTH 20210201 | $2.85 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | COMM | $2.85 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $3.00 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $3.00 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $3.00 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $3.30 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $3.30 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $3.30 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | ASA | $3.32 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Aetna | OON | $3.35 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $3.60 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $3.75 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $3.90 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $3.90 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $4.10 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $4.20 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | First Health | PPO | $4.26 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $4.50 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $4.50 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $4.80 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $4.80 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $5.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $5.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $5.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $5.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $5.40 | $6.00 | $6.00 | 2026-03-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $8.39 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | BCCCP | 556_BCCCP 20210201 | $8.39 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCCCP | 556_BCCCP 20210201 | $8.39 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $8.39 | $8.39 | $3.52 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $4,828.82 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | US HEALTH AND LIFE | 1991_BOMC, BOLE, BPHC US HEALTH AND LIFE 20200101 | $4,828.82 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $5,173.74 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | SMARTHEALTH | 3501_SMARTHEALTH 20230101 | $5,173.74 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $7,588.15 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH APPLE | 2606_BOMC, BPHC PRIORITY HEALTH APPLE 20200101 | $7,588.15 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $8,450.44 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY ADVANTAGE | 2002_COFINITY ADVANTAGE 20200101 | $8,450.44 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN MOLINA MEDICARE | 3123_BOAH MEDICARE MOLINA OUTPATIENT 20230215 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AUTO MVA | 3452_BOAH AUTO MVA MEDICARE OUTPATIENT 20230215 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN HUMANA MCR | 3130_BOAH MEDICARE HUMANA OUTPATIENT 20231001 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN MEDICARE | 3127_BOAH MEDICARE OUTPATIENT 20231001 | $9,140.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA | 2827_BOGI BOSU CIGNA 20210912 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PRIORITY HEALTH HMO/PPO | 2404_BOGI BOSU PRIORITY HEALTH 20200401 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MAGELLAN | 2050_BOMC, BPHC MAGELLAN 20210201 | $10,347.48 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $11,899.60 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1993_BOMC, BPHC COFINITY PPOM 20200101 | $11,899.60 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $12,934.35 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | $12,934.35 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $12,934.35 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1995_BOMC, BPHC PHCS 20200101 | $12,934.35 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $13,279.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN UHC | 3184_BOAH UNITED HEALTH CARE 20240701 | $13,279.27 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BC OF MICH TRAD | 3494_BOAH BLUE CROSS TRUST 20240701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | BCBS ALL OTHER | 3496_BOAH BLUE CROSS TRADITIONAL 20240701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CIGNA ALLEGAN | 3180_BOAH CIGNA 20230701 | $13,451.72 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $13,624.18 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ALLEGAN PRIORITY HEALTH HMO AND PPO | 3126_BOAH PRIORITY HEALTH HMO AND PPO 20100101 | $13,624.18 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1969_BOGI, BOSU COFINITY 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2588_BOMC, BPHC, BOLE ASR CORP 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | FIRST HEALTH | 1994_BOMC, BPHC, BOSU, BOGI FIRST HEALTH 20200101 | $13,796.64 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $14,141.56 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 1989_BOMC, BOLE, BPHC HEALTHSCOPE 20200101 | $14,141.56 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $14,658.93 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $14,658.93 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | DIRECT CARE AMERICA | 2581_DIRECT CARE AMERICA 20200101 | $14,658.93 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PREFERRED CHOICES | 2605_PREFERRED CHOICES 20200101 | $14,658.93 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | IFP | $15,148.08 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $15,176.30 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MULTIPLAN | 2393_BOMC BPHC MULTIPLAN 20190101 | $15,176.30 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $15,521.22 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | COFINITY | 1975_BOLE COFINITY 20200101 | $15,521.22 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $15,521.22 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HUMANA | 2623_BOMC, BOLE, BPHC HUMANA 20210401 | $15,521.22 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | QHP | $15,709.12 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $15,866.14 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | CHA | 2589_BOMC, BPHC, BOLE CHA 20200101 | $15,866.14 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | HEALTHSCOPE | 2601_BOSU, BOGI HEALTHSCOPE 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR 2 | 1970_BOGI, BOSU HEALTHSCOPE 98R 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | ASR CORP | 2602_BOSU, BOGI ASR CORP 20200101 | $16,383.51 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $17,245.80 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $17,245.80 | $17,245.80 | $8,450.44 | 2026-01-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | United | OptionsPPO | $19,524.19 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | HMO | $22,441.60 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | EPO | $22,441.60 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | ValueHMO | $22,441.60 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueAdvantageHMO | $27,715.38 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | MyBlueHealth | $27,715.38 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Molina Healthcare | HIX | $28,052.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | LocalPlus | $29,622.91 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NewBusiness | $29,622.91 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NetworkBenefit | $33,101.36 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | OpenAccessPlus | $33,101.36 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | HMO | $33,101.36 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCR | $33,662.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCD | $33,662.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentials | $35,794.35 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentialsAccess | $35,794.35 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | EPOSOA | $37,589.68 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Healthcare Highways | CityofPlano | $37,926.30 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | PPO | $39,272.80 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | AllOther | $41,853.58 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Prominence Health Plan | HIX | $44,883.20 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | Traditional | $49,820.35 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | City of McKinney | COMM | $50,493.60 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | National ChoiceCare | WCOMP | $56,104.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | ASA | $59,133.62 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | PC Texas Partners | WCOMP | $61,714.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | WCOMP | $61,714.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Physicians Coop of TX | MGMCR | $61,714.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Rockport Health Group | WORKERSCOMP | $61,714.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Averde Health, Inc | PPO | $65,080.64 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna Coventry First Health | EXCLUSIVE | $67,885.84 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $67,885.84 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Texas Healthcare Foundation WC | WORKERSCOMP | $72,935.20 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Mega Life | MGMCRPPO | $78,545.60 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Molina Healthcare | HIX | $84,156.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $84,156.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | HealthSmart Preferred Care | PPO | $84,156.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | USA Managed Care | COMM | $89,766.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | USC Health Services | COMM | $89,766.40 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Galaxy Health Network | PPO | $95,376.80 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Independent Medical Systems | COMM | $112,208.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | National Healthcare Solutions | COMM | $112,208.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Unicare | MCD | $112,208.00 | $112,208.00 | $112,208.00 | 2026-03-01 | MRF ↗ |