37233 — Tibper Revasc W/ather Add-on
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tibper revasc w/ather add-on (OTHER 37233) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37233?code_type=OTHER
MLA (9th ed.)
“Tibper revasc w/ather add-on (OTHER 37233) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37233?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tibper revasc w/ather add-on (OTHER 37233) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37233?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $645–$7,590 (25th–75th percentile) across 152 hospitals · 421 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 37233 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $25.45 | — | — | 2026-05-27 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-05-06 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-05-06 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-05-09 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-05-09 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-05-09 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-05-06 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $34.97 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $80.66 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $80.66 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $86.04 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $89.29 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $101.46 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-13 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $123.00 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | $125.00 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $126.90 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $131.98 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $134.92 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $134.92 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $136.00 | — | — | 2026-05-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | $137.00 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $141.67 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $172.18 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $174.81 | — | — | 2026-05-27 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $200.01 | $2,015.00 | $1,007.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $212.90 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $212.90 | — | — | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $212.90 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $212.90 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $226.01 | — | — | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $230.42 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $240.00 | $5,155.00 | $2,577.50 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $240.00 | $5,155.00 | $2,577.50 | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $241.95 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $243.07 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $243.07 | — | — | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $250.46 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $251.29 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $251.29 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $251.29 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $251.29 | — | — | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $253.04 | — | — | 2026-05-09 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $253.41 | $26,963.00 | $20,222.25 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $253.41 | $23,300.00 | $17,475.00 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $253.41 | $26,963.00 | $20,222.25 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $253.41 | $50,274.00 | $20,109.60 | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Martin'S Point | Martin'Spointnon-Physician | $255.26 | — | — | 2026-05-27 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Md | $262.99 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $266.08 | $26,963.00 | $20,222.25 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $266.08 | $23,300.00 | $17,475.00 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $266.08 | $26,963.00 | $20,222.25 | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Nwb | $269.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Nwb | $269.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Nwb | $269.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana Military | Tricareeast | $270.28 | — | — | 2026-05-27 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 105 | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cigna | Mvp Professional | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Ghi | Ghi | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Charity Care | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Non-Contracted | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 101 | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cdphp | Cdphp | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bcbs | Empire Bc Professional | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Mvp | Mvp Professional | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Managed Medicare 100% - Prof | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 102 | — | $974.00 | $487.00 | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vacare | Professional Mlp | $274.75 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Professional Mlp | $274.75 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Professional Mlp Rate | — | $274.75 | $3,181.00 | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $70,421.00 | $52,815.75 | 2026-05-07 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $282.89 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $282.89 | — | — | 2026-05-24 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Medicaid | $283.11 | $20,995.00 | $8,398.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Medicaid | $283.11 | $18,668.00 | $7,467.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $283.11 | $20,995.00 | $8,398.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $283.11 | $18,668.00 | $7,467.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Medicare Advantage | $285.49 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $287.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $287.02 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Medadv Hmo,Pos,Ppo | $287.02 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $287.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $287.02 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $288.29 | — | — | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $288.77 | $20,995.00 | $8,398.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $288.77 | $18,668.00 | $7,467.00 | 2026-05-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Mvp | Medicaid | $291.40 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Mvp | Medicaid | $291.40 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Mvp | Medicaid | $291.40 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Mvp | Medicaid | $291.40 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $291.41 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $291.41 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $292.56 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $292.56 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $293.89 | — | — | 2026-05-09 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-06 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Alohacare | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Alohacare | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-06 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-06 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicare | $294.07 | $1.00 | $0.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicare | $294.07 | $17,800.00 | $12,460.00 | 2026-05-08 | 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.