4000122 — Endoscopic Balloon Dilator Inflator
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ENDOSCOPIC BALLOON DILATOR INFLATOR (CDM 4000122) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4000122?code_type=CDM
MLA (9th ed.)
“ENDOSCOPIC BALLOON DILATOR INFLATOR (CDM 4000122) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4000122?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ENDOSCOPIC BALLOON DILATOR INFLATOR (CDM 4000122) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4000122?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74–$1,284 (25th–75th percentile) across 7 hospitals · 77 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4000122 — 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 |
|---|---|---|---|---|---|---|---|
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE ADV HMO EXCHANGE | $15.92 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE ADV HMO EXCHANGE | $15.92 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TX CHILDRENS MCAID | TX CHILDRENS MCAID | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH CHIP | SUPERIOR CHIP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID OP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID IP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID OP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID IP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH CHIP | SUPERIOR CHIP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TX CHILDRENS MCAID | TX CHILDRENS MCAID | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $25.72 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $33.68 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $33.68 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $33.68 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $33.68 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $34.21 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $36.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $39.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $51.45 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $51.45 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $56.59 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $56.59 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $56.59 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $56.59 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $59.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $59.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | CURATIVE HEALTH | $61.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | CURATIVE HEALTH | $61.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA SUPPLEMENT | CIGNA SUPPLEMENT | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA IP | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA SUPPLEMENT | CIGNA SUPPLEMENT | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA OP | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA IP | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA FMC EMPLOYEE | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA OP | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA FMC EMPLOYEE | $73.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $79.62 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $79.62 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Commercial | $80.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $80.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | United Healthcare of Texas | Commercial | $80.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | HMO | $80.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | BCBS MCR ADV | BCBS MCR ADV | $83.34 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN | MISC MULTIPLAN | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN AUTO | MISC MULTIPLAN AUTO | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN WORKCOMP | MISC MULTIPLAN WORKCOMP | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY GT 083123 | SELF PAY 090123 | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY LT 090123 | SELF PAY OLD | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN AUTO | MISC MULTIPLAN AUTO | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN | MISC MULTIPLAN | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY GT 083123 | SELF PAY 090123 | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN WORKCOMP | MISC MULTIPLAN WORKCOMP | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY LT 090123 | SELF PAY OLD | $85.75 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO IP | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO OP | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA SUPPLEMENT | AETNA SUPPLEMENT | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO IP | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO OP | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA SUPPLEMENT | AETNA SUPPLEMENT | $98.00 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | Commercial | $100.00 | $100.00 | $60.00 | 2025-12-16 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $110.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $110.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $110.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $110.25 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $115.75 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ZELIS HEALTHCARE | ZELIS HEALTHCARE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | HUMANA | HUMANA | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE OP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE IP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | GILSBAR | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ZELIS HEALTHCARE | ZELIS HEALTHCARE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS AUTO | MISC AUTO | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS IP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS OP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AFLAC | AFLAC | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TML | TML | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE MISC | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE FAIRFIELD HOSP DIST | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | INMATE FREESTONE CO | INMATE FREESTONE COUNTY | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | STANDARD LIFE INSURANCE | STANDARD LIFE INSURANCE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | NORTH AMERICAN MED EMPL | NORTH AMERICAN ADMIN EMPL | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC HOSPICE | MISC HOSPICE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | FAIRVIEW NURSING HOME | FAIRVIEW NURSING HOME | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | HUMANA | HUMANA | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE IP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE OP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | GILSBAR | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS AUTO | MISC AUTO | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS IP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS OP | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AFLAC | AFLAC | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TML | TML | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE FAIRFIELD HOSP DIST | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE MISC | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | INMATE FREESTONE CO | INMATE FREESTONE COUNTY | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | STANDARD LIFE INSURANCE | STANDARD LIFE INSURANCE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | NORTH AMERICAN MED EMPL | NORTH AMERICAN ADMIN EMPL | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC HOSPICE | MISC HOSPICE | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | FAIRVIEW NURSING HOME | FAIRVIEW NURSING HOME | $122.50 | $122.50 | $85.75 | 2025-05-06 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $138.90 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $138.90 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Cigna | Commercial | $166.00 | $416.00 | $416.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Aetna | Commercial | $229.00 | $416.00 | $416.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield of Texas | Commercial | $229.00 | $416.00 | $416.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield | Commercial | $229.00 | $416.00 | $416.00 | 2026-04-27 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $231.50 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $279.34 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $300.95 | $463.00 | $324.10 | 2026-01-30 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $304.51 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $307.28 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $307.28 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $335.04 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $335.04 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | PRIVATE PAY | PRIVATE PAY | $345.42 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | NO AMER MERITIAN HEALTH | NO AMER MERITIAN HEALTH | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GLOBAL EXCEL MGT | GLOBAL EXCEL MGT | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | AMERICAN PROGRESSIVE INS. | AMERICAN PROGRESSIVE INS. | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | AETNA INS. | AETNA INS. | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | CIGNA OTHER | CIGNA COMMERCIAL | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MVP COMMERCIAL | MVP COMMERCIAL OP | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MVP COMMERCIAL | MVP COMMERCIAL IP | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMERCIAL / MISC | COMMERCIAL / MISC | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GUARDIAN LIFE INS. CO. | GUARDIAN LIFE INS. CO. | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | NO-FAULT | NO-FAULT | $406.38 | $406.38 | $345.42 | 2026-04-07 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | SELF PAY | SELF PAY IP | $645.15 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | SELF PAY | SELF PAY OP | $645.15 | $2,150.50 | $645.15 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA AMERICAN RETIREMENT | $1,270.94 | $2,150.50 | $645.15 | 2025-12-04 | 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.