2500505 — Erythromycin Opth 0.5% Oint
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). erythromycin Opth 0.5% Oint (CDM 2500505) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500505?code_type=CDM
MLA (9th ed.)
“erythromycin Opth 0.5% Oint (CDM 2500505) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500505?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“erythromycin Opth 0.5% Oint (CDM 2500505) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500505?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$100 (25th–75th percentile) across 5 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2500505 — 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 |
|---|---|---|---|---|---|---|---|
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $2.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | UHC COMM PLAN MCAID | UHC COMM PLAN MCAID | $3.36 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $3.36 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $3.36 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | NEBRASKA TOTAL CARE-ALL PLANS | NEBRASKA TOTAL CARE-ALL PLANS | $3.36 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA PRIME SOL | MEDICA PRIME SOL | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $3.43 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV - ALL PLANS | GREAT PLAINS MCR ADV - ALL PLANS | $3.60 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $4.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $4.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $5.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $6.30 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $6.30 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $6.30 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $6.30 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MEDICA CHI OPEN ACCESS | MEDICA CHI OPEN ACCESS | $6.30 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS BLUE PRINT | BCBS BLUE PRINT | $6.37 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $6.65 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | UHC COMM -ALL OTHER PLANS | UHC COMM -ALL OTHER PLANS | $6.72 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA PPO/HMO - ALL OTHER PLANS | AETNA PPO/HMO - ALL OTHER PLANS | $6.86 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA EMPLOYER | AETNA EMPLOYER | $6.86 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $6.86 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| TRI VALLEY HEALTH SYSTEM Outpatient | AETNA ADVANTRA HMO | AETNA ADVANTRA HMO | $6.86 | $7.00 | $6.30 | 2026-02-24 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage HMO | $67.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $67.09 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $67.09 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $68.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $68.31 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $68.31 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $68.90 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $70.13 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $70.13 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $70.16 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $71.40 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $71.40 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $71.58 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $72.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem IUH Employee Plan | $72.02 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $72.02 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $72.51 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $72.51 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $72.87 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | $73.33 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $73.75 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $73.75 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $74.82 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $75.79 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $75.79 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Commercial | $76.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $76.16 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $77.08 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $77.08 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $83.03 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $85.22 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | HealthSmart | Commercial | $86.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Cigna | Commercial | $86.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $86.77 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $86.77 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $86.79 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $89.13 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Alliance Regional | Commercial | $90.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $90.69 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $90.69 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $91.10 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $91.10 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $91.10 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $92.96 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue HMO | $95.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage PPO | $95.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $95.22 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $95.22 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $95.22 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $97.16 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $97.30 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $99.16 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $99.16 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $99.16 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | 90 Degrees | Commercial | $100.00 | $95.00 | $71.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $100.40 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $101.70 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $103.64 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $103.64 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $103.64 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $104.94 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $105.36 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $105.36 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $105.36 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $110.12 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $110.12 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $110.12 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $111.56 | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $116.60 | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $430.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $650.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $650.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $129.55 | $73.84 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | $123.95 | $70.65 | 2024-12-03 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | HMO | $882.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | United Healthcare of Texas | Commercial | $882.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Commercial | $882.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $882.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | Commercial | $1,102.00 | $1,102.00 | $661.00 | 2025-12-16 | MRF ↗ |