3050 — Other Transplant Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER TRANSPLANT PROCEDURES (EAPG 3050) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3050?code_type=EAPG
MLA (9th ed.)
“OTHER TRANSPLANT PROCEDURES (EAPG 3050) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3050?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“OTHER TRANSPLANT PROCEDURES (EAPG 3050) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3050?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,779–$5,877 (25th–75th percentile) across 169 hospitals · 128 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 3050 — 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 |
|---|---|---|---|---|---|---|---|
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $615.19 | — | — | 2025-09-30 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $936.66 | — | — | 2026-01-29 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | BCBS - Anthem | Medicaid|All Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Molina | Medicaid|All Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | BCBS - Anthem | Medicaid|All Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | CareSource | Medicaid|MyCare | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | CareSource | Medicaid|All Other Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Molina | Medicaid|All Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | CareSource | Medicaid|All Other Plans | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | CareSource | Medicaid|MyCare | $1,078.10 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicaid|All Plans | $1,099.67 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicaid|All Plans | $1,099.67 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Health Choice | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Health Choice | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicaid|All Plans | $1,110.45 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicaid|All Plans | $1,110.45 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Paramount | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Buckeye | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Buckeye | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Paramount | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | United | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Paramount | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Paramount | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Caresource | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Aetna | Medicaid|Better Health | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Aetna | Medicaid|Better Health | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Caresource | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | United | Medicaid|All Plans | $1,132.01 | — | — | 2026-02-28 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $1,438.08 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $1,454.39 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna Better Health | Mycare | $1,483.48 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $1,498.03 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Mycare | $1,498.03 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $1,498.03 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $1,498.03 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $1,512.57 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $1,527.11 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $1,527.11 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $1,592.34 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $1,592.34 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $1,630.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $1,630.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Care Source | Caresource Medicaid | $1,630.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Non-contracted Medicaid | Non-contracted Medicaid | $1,630.14 | — | — | 2024-12-19 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $1,640.11 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $1,640.11 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $1,640.11 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $1,656.04 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $1,662.74 | — | — | 2024-12-19 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $1,671.96 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $1,671.96 | — | — | 2026-07-15 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $1,677.59 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $1,677.59 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $1,677.59 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Molina | Molina Medicaid | $1,677.59 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Medicaid | $1,679.04 | — | — | 2024-12-19 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Creighton University Employees | Commercial|All Plans | $1,691.74 | — | — | 2025-09-30 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Choice Care Humana | Choice care Humana Medicaid | $1,695.35 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Care Source | Care source Medicaid | $1,711.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Paramount | Paramount Medicaid | $1,711.65 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $1,711.65 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Medicaid | $1,711.65 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Paramount | Paramount Medicaid | $1,727.92 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $1,727.92 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Choice Care Humana | Choice Care Humana Medicaid | $1,744.69 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $1,761.47 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | UHC | UHC Medicaid | $1,761.47 | — | — | 2024-12-19 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Commercial|All Plans | $1,937.82 | — | — | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | ELAP | Commercial|All Plans | $1,968.58 | — | — | 2025-09-30 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | ICare | Managed Medicaid | $2,025.49 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,025.49 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2,025.49 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Community Care | Managed Medicaid | $2,025.49 | — | — | 2025-12-31 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - South Central WI | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Dean Health Plan | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | My Choice | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | United Healthcare | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - Eau Claire | Managed Medicaid | $2,027.84 | — | — | 2026-01-28 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Chorus Community Health Plan | Managed Medicaid | $2,066.00 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Molina | Managed Medicaid | $2,086.25 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Care Wisconsin | Managed Medicaid | $2,086.25 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Network Health Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Network Health Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Chorus Community Health Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Community Care Incorporated | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | ICare | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Managed Health Services | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Trilogy | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Chorus Community Health Plan | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | ICare | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Community Care | Managed Medicaid | $2,123.56 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Managed Health Services | Managed Medicaid | $2,126.76 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Trilogy | Managed Medicaid | $2,126.76 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Network Health Plan | Managed Medicaid | $2,126.76 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Care Wisconsin | Managed Medicaid | $2,187.27 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Molina | Managed Medicaid | $2,187.27 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,187.27 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Network Health Plan | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Community Care | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Chorus Community Health Plan | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | ICare | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,309.85 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Care Wisconsin/MyChoice | Managed Medicaid | $2,379.15 | — | — | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,379.15 | — | — | 2025-12-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $2,399.69 | — | — | 2026-03-24 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $2,425.34 | — | — | 2025-12-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $2,447.68 | — | — | 2026-03-24 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Midlands Choice | Commercial|Premier | $2,553.00 | — | — | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Medica | Commercial|Open Access | $2,553.00 | — | — | 2025-09-30 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $2,615.66 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $2,615.66 | — | — | 2026-03-24 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Group Health Cooperative | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | ICare | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Security Health Plan | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Community Care | Family Care Partnership Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Network Health Plan | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Chorus Community Health Plan | Managed Medicaid | $2,657.84 | — | — | 2025-12-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $2,687.65 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $2,703.16 | — | — | 2026-07-15 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Care Wisconsin/MyChoice | Managed Medicaid | $2,737.58 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,737.58 | — | — | 2025-12-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $2,759.64 | — | — | 2026-03-24 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Trilogy | Managed Medicaid | $2,790.73 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Wellcare | Managed Medicaid | $2,790.73 | — | — | 2025-12-31 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Midlands Choice | Commercial|Standard | $2,891.35 | — | — | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | MultiPlan PHCS | Commercial|All Plans | $2,891.35 | — | — | 2025-09-30 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $2,935.72 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $2,935.72 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $2,994.44 | — | — | 2026-03-23 | 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.