263252 — Kit Implant Unilat Tmj M
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIT IMPLANT UNILAT TMJ M (CDM 263252) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/263252?code_type=CDM
MLA (9th ed.)
“KIT IMPLANT UNILAT TMJ M (CDM 263252) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/263252?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“KIT IMPLANT UNILAT TMJ M (CDM 263252) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/263252?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$59,682 (25th–75th percentile) across 5 hospitals · 53 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 263252 — 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 |
|---|---|---|---|---|---|---|---|
| Trinity Regional Hospital Sachse Outpatient | Superior Health Plan | STARHealth | $9.66 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior Health Plan | MCDSTAR | $9.66 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior Health Plan | STARPLUS | $9.66 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior Health Plan | STARKids | $9.66 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior Health Plan | CHIP | $9.66 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | IFP | $18.63 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | QHP | $19.32 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | United | OptionsPPO | $24.01 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior | HMO | $27.60 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior | EPO | $27.60 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Superior | ValueHMO | $27.60 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | BlueAdvantageHMO | $34.09 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | MyBlueHealth | $34.09 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Molina Healthcare | HIX | $34.50 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | NewBusiness | $36.43 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | LocalPlus | $36.43 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | OpenAccessPlus | $40.71 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | NetworkBenefit | $40.71 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | HMO | $40.71 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | BlueEssentialsAccess | $44.02 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | BlueEssentials | $44.02 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | EPOSOA | $46.23 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Healthcare Highways | CityofPlano | $46.64 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | PPO | $48.30 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Cigna | AllOther | $51.47 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | BCBS | Traditional | $61.27 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Aetna | ASA | $72.73 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Aetna Coventry First Health | EXCLUSIVE | $83.49 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $83.49 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Molina Healthcare | HIX | $103.50 | $138.00 | $138.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $904.00 | $904.00 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $306.94 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $306.94 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $306.94 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $323.15 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $342.39 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | $399.12 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $405.20 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $425.46 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $425.46 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $425.46 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | $425.46 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | $455.85 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $493.33 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $506.50 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $538.92 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $538.92 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $538.92 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $542.97 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $557.15 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $585.51 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $607.80 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Moda | COMM | $631.10 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | $652.37 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | $652.37 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | $759.75 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | $759.75 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | $810.40 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $810.40 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $850.92 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $850.92 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | $861.05 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | $861.05 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | $911.70 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | $911.70 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $911.70 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | $911.70 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | $921.83 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $921.83 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $962.35 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | $962.35 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | $962.35 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | $1,013.00 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | $1,013.00 | $1,013.00 | $1,013.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $11,548.88 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $11,548.88 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | MyBlueHealth | $12,291.31 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterEPO | $14,023.64 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | ValueHMO | $14,023.64 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterHMO | $14,023.64 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueAdvantage | $14,436.10 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | United | OptionsPPO | $20,540.51 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentials | $22,520.32 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentialsAccess | $22,520.32 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | EPOSOA | $24,417.63 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | IMO Med - Select Network | WC | $24,747.60 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | PPO | $26,314.95 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | Traditional | $26,314.95 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Sendero | ACHP | $26,397.44 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $27,417.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $27,417.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $27,417.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $27,417.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Shared Health | MGMCR | $28,872.20 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $29,180.16 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $29,180.16 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Texas Healthcare Foundation HEB | WC | $30,522.04 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Texas Healthcare Foundation HEB | COMM | $30,522.04 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Texas Workforce Commission | WCOMP | $32,171.88 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $33,292.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $34,272.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $34,272.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | NaphCare | MGMCR | $37,121.40 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | United | GlobalBenefitPlan | $37,121.40 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Austin FC | WORKERSCOMP | $41,246.00 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Comanche County | LOCALGOV | $41,246.00 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | HealthSmart Preferred Care | Accel | $45,370.60 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Independent Medical Systems | COMM | $45,370.60 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | OptionsPPO | $48,764.16 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $48,764.16 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Prime Health | WC | $49,495.20 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $53,464.32 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $53,464.32 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $53,464.32 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $53,464.32 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | National Health Care | COMM | $53,619.80 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | EPOSOA | $57,968.64 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | EPOSOA | $57,968.64 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $58,752.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | IMO Med - Select Network | WC | $58,752.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | PPO | $62,472.96 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | Traditional | $62,472.96 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | PPO | $62,472.96 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | Traditional | $62,472.96 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Sendero | ACHP | $62,668.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Sendero | ACHP | $62,668.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | HealthSmart Preferred Care | COMM | $65,993.60 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Shared Health | MGMCR | $68,544.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Shared Health | MGMCR | $68,544.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | COMM | $72,460.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $72,460.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $72,460.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | WC | $72,460.80 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Beech Street | COMMPPO | $74,242.80 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Multiplan | COMMPPO | $74,242.80 | $82,492.00 | $82,492.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Workforce Commission | WCOMP | $76,377.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $76,377.60 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | GlobalBenefitPlan | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Averde Health | COMM | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Seven Corners | GVT | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | NaphCare | MGMCR | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Averde Health | COMM | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | NaphCare | MGMCR | $88,128.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $97,920.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Comanche County | LOCALGOV | $97,920.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Austin FC | WORKERSCOMP | $97,920.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $97,920.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | National ChoiceCare | WC | $97,920.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | Accel | $107,712.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $107,712.00 | $195,840.00 | $195,840.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Physicians Cooperative of Texas | WC | $107,712.00 | $195,840.00 | $195,840.00 | 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.