36000009 — Hc Level 2 Each Addl 15 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC LEVEL 2 EACH ADDL 15 MIN (CDM 36000009) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36000009?code_type=CDM
MLA (9th ed.)
“HC LEVEL 2 EACH ADDL 15 MIN (CDM 36000009) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36000009?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC LEVEL 2 EACH ADDL 15 MIN (CDM 36000009) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36000009?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $241–$3,549 (25th–75th percentile) across 54 hospitals · 221 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 36000009 — 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 |
|---|---|---|---|---|---|---|---|
| ST FRANCIS MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS MCAID-ALL PLANS | AMERIHEALTH CARITAS MCAID-ALL PLANS | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | LA HLTHCARE CONN MCAID-ALL PLANS | LA HLTHCARE CONN MCAID-ALL PLANS | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $17.09 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS MCAID-ALL PLANS | AMERIHEALTH CARITAS MCAID-ALL PLANS | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | LA HLTHCARE CONN MCAID-ALL PLANS | LA HLTHCARE CONN MCAID-ALL PLANS | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $17.46 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | LHC MEDICAID | LHC MEDICAID | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MAGELLAN BEHAV MCAID - ALL PLANS | MAGELLAN BEHAV MCAID - ALL PLANS | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERIHEALTH CARITAS MCAID - ALL PLANS | AMERIHEALTH CARITAS MCAID - ALL PLANS | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $19.96 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $21.55 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $21.55 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $23.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $23.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $28.03 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | $31.92 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | $31.92 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZONS MCAID | HUMANA HLTHY HORIZONS MCAID | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN MCAID | MAGELLAN MCAID | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCAID | LHC MCAID | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AMERIHLTH CARITAS MCAID - ALL PLANS | AMERIHLTH CARITAS MCAID - ALL PLANS | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZONS MCAID | HUMANA HLTHY HORIZONS MCAID | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCAID | LHC MCAID | $48.08 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN MCAID | MAGELLAN MCAID | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AMERIHLTH CARITAS MCAID - ALL PLANS | AMERIHLTH CARITAS MCAID - ALL PLANS | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $48.08 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $48.60 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $48.60 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $51.80 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $55.36 | $461.34 | $276.80 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $56.98 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $59.85 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $59.85 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $59.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $60.06 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRC EMPLOYEES WEBTPA - ALL PLANS | BRC EMPLOYEES WEBTPA - ALL PLANS | $61.69 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRC EMPLOYEES WEBTPA - ALL PLANS | BRC EMPLOYEES WEBTPA - ALL PLANS | $61.69 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $62.83 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $62.83 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $62.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $62.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $62.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $62.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $62.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $63.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | MPCN - ALL PLANS | MPCN - ALL PLANS | $63.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $63.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $65.52 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $65.52 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | $65.91 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | $65.91 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $66.50 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $66.50 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS HMO-ALL OTHER PLANS | BCBS HMO-ALL OTHER PLANS | $66.50 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $66.50 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS HMO-ALL OTHER PLANS | BCBS HMO-ALL OTHER PLANS | $66.50 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $66.50 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | Commercial | $67.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | HMO | $67.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | Commercial | $67.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | HMO | $67.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $67.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | PPO | $67.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $67.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Blue Cross and Blue Shield of LA | PPO | $67.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $68.00 | $133.00 | $47.00 | 2026-01-06 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $68.00 | $133.00 | $47.00 | 2026-05-27 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $69.20 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $69.20 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA BEHAV HLTH | CIGNA BEHAV HLTH | $70.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $70.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS HMO - ALL OTHER PLANS | BCBS HMO - ALL OTHER PLANS | $71.50 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS MCR ADV | BCBS MCR ADV | $71.50 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $71.50 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $71.50 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $71.97 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Sedgwick | Preferred Network | $74.51 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Injury Management Organization | Med Select Network | $74.51 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $74.51 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $75.29 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LWHA (WEBTPA) - ALL PLANS | LWHA (WEBTPA) - ALL PLANS | $79.70 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LWHA (WEBTPA) - ALL PLANS | LWHA (WEBTPA) - ALL PLANS | $79.70 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | INSURANCE SYSTMS INC-ALL PLANS | INSURANCE SYSTMS INC-ALL PLANS | $79.80 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | INSURANCE SYSTMS INC-ALL PLANS | INSURANCE SYSTMS INC-ALL PLANS | $79.80 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $79.86 | $411.00 | $123.30 | 2026-02-13 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $80.20 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $80.20 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | Superior Health Plan | Medicaid | $83.04 | $461.34 | $276.80 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $83.04 | $461.34 | $276.80 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $83.04 | $461.34 | $276.80 | 2026-02-18 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BEACON BEHAV HLTH - ALL PLANS | BEACON BEHAV HLTH - ALL PLANS | $84.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BEACON BEHAV HLTH - ALL PLANS | BEACON BEHAV HLTH - ALL PLANS | $84.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE | BCBS FMOLHS EMPLOYEE | $84.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $84.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS PRECISION/SB - ALL OTHER PLANS | BCBS PRECISION/SB - ALL OTHER PLANS | $84.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS HMO | BCBS HMO | $84.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE | BCBS FMOLHS EMPLOYEE | $84.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS PRECISION/SB - ALL OTHER PLANS | BCBS PRECISION/SB - ALL OTHER PLANS | $84.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $86.11 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $86.11 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HST-ALL PLANS | HST-ALL PLANS | $86.45 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HST-ALL PLANS | HST-ALL PLANS | $86.45 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $87.78 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $87.78 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $87.91 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $87.91 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS-ALL OTHER PLANS | PPO PLUS-ALL OTHER PLANS | $90.44 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $90.44 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS-ALL OTHER PLANS | PPO PLUS-ALL OTHER PLANS | $90.44 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $90.44 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $90.72 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $90.72 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $92.04 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Superior Health Plan | Medicaid | $92.27 | $461.34 | $276.80 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $92.27 | $461.34 | $276.80 | 2026-06-13 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HST - ALL PLANS | HST - ALL PLANS | $92.95 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE-ALL PLANS | GILSBAR 360 ALLIANCE-ALL PLANS | $95.76 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | SCT MGMT SERVICES-ALL PLANS | SCT MGMT SERVICES-ALL PLANS | $95.76 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | SCT MGMT SERVICES-ALL PLANS | SCT MGMT SERVICES-ALL PLANS | $95.76 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE-ALL PLANS | GILSBAR 360 ALLIANCE-ALL PLANS | $95.76 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | TriWest | Community Care Network | $96.88 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $97.53 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $97.78 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $97.78 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Medicaid/CHIP | $98.73 | $461.34 | $276.80 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Plus - Small Group | $98.96 | $461.34 | $276.80 | 2026-02-21 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|HMO | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|HMO | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|Surefit | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|Surefit | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $100.00 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC EXCHANGE COMPASS | UHC EXCHANGE COMPASS | $100.41 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC NEXUS ACO | UHC NEXUS ACO | $100.41 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC EXCHANGE COMPASS | UHC EXCHANGE COMPASS | $100.41 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC NEXUS ACO | UHC NEXUS ACO | $100.41 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | CORVEL | Worker's Compensation | $101.49 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Prime Health Services | Worker's Compensation | $101.49 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | ProCare Advantage | Medicare Advantage | $101.73 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $101.73 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $101.73 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | HealthSpring | Medicare Advantage | $101.73 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | American Health Plan | Medicare Advantage | $101.73 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $103.39 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $104.39 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS AHS/EMPLOYEE | BCBS AHS/EMPLOYEE | $105.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS FMP - ALL OTHER PLANS | BCBS FMP - ALL OTHER PLANS | $105.00 | $140.00 | $70.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $106.40 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $106.40 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $106.40 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $106.40 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | PPO PLUS NON FMOLHS | PPO PLUS NON FMOLHS | $107.25 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | PPO PLUS PLATINUM - ALL OTHER PLANS | PPO PLUS PLATINUM - ALL OTHER PLANS | $107.25 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HST - ALL PLANS | HST - ALL PLANS | $109.20 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HST - ALL PLANS | HST - ALL PLANS | $109.20 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $114.06 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $114.06 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $114.40 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA TRICARE | HUMANA TRICARE | $114.40 | $143.00 | $71.50 | 2026-10-26 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $115.66 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $115.66 | $1,206.00 | $422.10 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $116.26 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC COMM COFFEE GRP | UHC COMM COFFEE GRP | $116.44 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC COMM COFFEE GRP | UHC COMM COFFEE GRP | $116.44 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | WOMEN'S HOSPITAL FOUND - ALL PLANS | WOMEN'S HOSPITAL FOUND - ALL PLANS | $117.60 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | WOMEN'S HOSPITAL FOUND - ALL PLANS | WOMEN'S HOSPITAL FOUND - ALL PLANS | $117.60 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MCCP-ALL PLANS | MCCP-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | WORKERS COMP-ALL PLANS | WORKERS COMP-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | FIRST HEALTH/CCN-ALL PLANS | FIRST HEALTH/CCN-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MCCP-ALL PLANS | MCCP-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | FIRST HEALTH/CCN-ALL PLANS | FIRST HEALTH/CCN-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | WORKERS COMP-ALL PLANS | WORKERS COMP-ALL PLANS | $119.70 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Sedgwick | Preferred Network | $120.41 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $120.41 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Injury Management Organization | Med Select Network | $120.41 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $120.96 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $120.96 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $121.61 | $461.34 | $276.80 | 2026-02-24 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | USA MANAGED CARE-ALL PLANS | USA MANAGED CARE-ALL PLANS | $125.02 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | USA MANAGED CARE-ALL PLANS | USA MANAGED CARE-ALL PLANS | $125.02 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $126.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $126.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS LLC - ALL OTHER PLANS | PPO PLUS LLC - ALL OTHER PLANS | $126.00 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS LLC - ALL OTHER PLANS | PPO PLUS LLC - ALL OTHER PLANS | $126.00 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | THREE RIVERS PRVDR NTWK-ALL PLANS | THREE RIVERS PRVDR NTWK-ALL PLANS | $126.35 | $133.00 | $66.50 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | THREE RIVERS PRVDR NTWK-ALL PLANS | THREE RIVERS PRVDR NTWK-ALL PLANS | $126.35 | $133.00 | $66.50 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $127.68 | $168.00 | $84.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $127.68 | $168.00 | $84.00 | 2026-10-13 | MRF ↗ |
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