4000123 — Ezdialate Balloon 8.5-9.5-10
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EZDIALATE BALLOON 8.5-9.5-10 (CDM 4000123) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4000123?code_type=CDM
MLA (9th ed.)
“EZDIALATE BALLOON 8.5-9.5-10 (CDM 4000123) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4000123?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“EZDIALATE BALLOON 8.5-9.5-10 (CDM 4000123) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4000123?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $238–$1,535 (25th–75th percentile) across 5 hospitals · 69 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4000123 — 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 |
|---|---|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $8.75 | $35.00 | $24.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $10.50 | $35.00 | $24.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $10.50 | $35.00 | $24.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $17.50 | $35.00 | $24.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $22.75 | $35.00 | $24.50 | 2026-01-30 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE ADV HMO EXCHANGE | $67.08 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE ADV HMO EXCHANGE | $67.08 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID OP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH CHIP | SUPERIOR CHIP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TX CHILDRENS MCAID | TX CHILDRENS MCAID | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID IP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID OP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH CHIP | SUPERIOR CHIP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TX CHILDRENS MCAID | TX CHILDRENS MCAID | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MCAID | MCAID IP | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $108.36 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $141.90 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $141.90 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $141.90 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $141.90 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $144.11 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | WELLPOINT MCD | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MOLINA MEDICAID | MOLINA MEDICAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UHC CHIP | UHC CHIP | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | WELLMED MCAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | RIGHTCARE S&W MCAID | RIGHTCARE S&W MCAID | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MCAID HMO | MISC MCAID HMO | $154.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $164.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $164.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Cigna | Commercial | $187.00 | $467.00 | $467.00 | 2026-04-27 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $206.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $206.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $216.72 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $216.72 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $238.39 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $238.39 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $238.39 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | UNITED MEDICAID | MCD UHC STAR PLUS | $238.39 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Aetna | Commercial | $257.00 | $467.00 | $467.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield of Texas | Commercial | $257.00 | $467.00 | $467.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield | Commercial | $257.00 | $467.00 | $467.00 | 2026-04-27 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | CURATIVE HEALTH | $258.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | CURATIVE HEALTH | $258.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA SUPPLEMENT | CIGNA SUPPLEMENT | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA IP | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA OP | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA IP | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA FMC EMPLOYEE | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA SUPPLEMENT | CIGNA SUPPLEMENT | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA FMC EMPLOYEE | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | CIGNA | CIGNA OP | $309.60 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $313.57 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $332.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $332.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $335.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $335.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $341.82 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $344.93 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $344.93 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN AUTO | MISC MULTIPLAN AUTO | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY LT 090123 | SELF PAY OLD | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN | MISC MULTIPLAN | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN WORKCOMP | MISC MULTIPLAN WORKCOMP | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY GT 083123 | SELF PAY 090123 | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY LT 090123 | SELF PAY OLD | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN | MISC MULTIPLAN | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN AUTO | MISC MULTIPLAN AUTO | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN WORKCOMP | MISC MULTIPLAN WORKCOMP | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | SELF PAY GT 083123 | SELF PAY 090123 | $361.20 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $376.10 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $376.10 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO OP | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA SUPPLEMENT | AETNA SUPPLEMENT | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA SUPPLEMENT | AETNA SUPPLEMENT | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO OP | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO IP | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AETNA | AETNA TRS/HMO IP | $412.80 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $416.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $416.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $464.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $464.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TRADITIONAL | $464.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS HMO | $464.40 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | FAIRVIEW NURSING HOME | FAIRVIEW NURSING HOME | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | HUMANA | HUMANA | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE FAIRFIELD HOSP DIST | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE MISC | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TML | TML | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AFLAC | AFLAC | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS IP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS OP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS AUTO | MISC AUTO | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ZELIS HEALTHCARE | ZELIS HEALTHCARE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | GILSBAR | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE IP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE OP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | HUMANA | HUMANA | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | FAIRVIEW NURSING HOME | FAIRVIEW NURSING HOME | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC HOSPICE | MISC HOSPICE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | NORTH AMERICAN MED EMPL | NORTH AMERICAN ADMIN EMPL | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | STANDARD LIFE INSURANCE | STANDARD LIFE INSURANCE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | INMATE FREESTONE CO | INMATE FREESTONE COUNTY | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE MISC | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ICARE | ICARE FAIRFIELD HOSP DIST | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | TML | TML | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | AFLAC | AFLAC | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS OP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS | MISCELLANEOUS IP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISCELLANEOUS AUTO | MISC AUTO | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | ZELIS HEALTHCARE | ZELIS HEALTHCARE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | GILSBAR | GILSBAR | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE OP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | BANKERS LIFE | BANKERS LIFE IP | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | INMATE FREESTONE CO | INMATE FREESTONE COUNTY | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | STANDARD LIFE INSURANCE | STANDARD LIFE INSURANCE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | NORTH AMERICAN MED EMPL | NORTH AMERICAN ADMIN EMPL | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| FREESTONE MEDICAL CENTER Both | MISC HOSPICE | MISC HOSPICE | $516.00 | $516.00 | $361.20 | 2025-05-06 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | SELF PAY | SELF PAY OP | $724.20 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | SELF PAY | SELF PAY IP | $724.20 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | APWU CIGNA | DEACTIVATE APWU CIGNA | $1,426.67 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA AMERICAN RETIREMENT | $1,426.67 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA OP | $1,426.67 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | DEACTIVATE CIGNA INTERNAT | $1,426.67 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA IP | $1,426.67 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | COVENTRY HEALTHCARE OF LA | COVENTRY OP | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA | AETNA IP | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA | AETNA NPL | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA | DEACTIVATE AETNA MULTIPLA | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA | AETNA OP | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | COVENTRY HEALTHCARE OF LA | COVENTRY IP | $1,441.15 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA OP | $1,535.30 | $2,414.00 | $724.20 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CIGNA | CIGNA AMERICAN RETIREMENT | $1,535.30 | $2,414.00 | $724.20 | 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.