4000124 — Ezdialate Balloon 1112-13
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EZDIALATE BALLOON 1112-13 (CDM 4000124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4000124?code_type=CDM
MLA (9th ed.)
“EZDIALATE BALLOON 1112-13 (CDM 4000124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4000124?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“EZDIALATE BALLOON 1112-13 (CDM 4000124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4000124?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $149–$1,166 (25th–75th percentile) across 8 hospitals · 102 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4000124 — 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 |
|---|---|---|---|---|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Medicare of OR | Medicare | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Tricare West | Military | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CARE OREGON - Medicare Advantage | CARE OREGON - Medicare Advantage | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | STERLING - Medicare Advantage | STERLING - Medicare Advantage | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | MOLINA MA - Medicare Advantage | MOLINA MA - Medicare Advantage | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Care Oregon | Medicaid | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Regence BCBS | Medicare | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | UnitedHealthcare | Medicare | $0.05 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | $0.06 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | AETNA MEDICARE ADVANTAGE - Medicare Advantage | AETNA MEDICARE ADVANTAGE - Medicare Advantage | $0.06 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Molina | Medicaid | $0.07 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PNOA - Auto/Liability | PNOA - Auto/Liability | $0.08 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDER NETWORK OF AMERICA - Commercial | PROVIDER NETWORK OF AMERICA - Commercial | $0.08 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Regence BCBS | Commercial | $0.13 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Aetna | Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Cigna | Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CHP OF WASHINGTON PEBB- Medicaid | CHP OF WASHINGTON PEBB- Medicaid | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PACIFICARE - Commercial | PACIFICARE - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | UnitedHealthcare | Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PACIFIC SOURCE - Commercial | PACIFIC SOURCE - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDENCE PREFERRED/CHOICE - Commercial | PROVIDENCE PREFERRED/CHOICE - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | MULTIPLAN - Commercial | MULTIPLAN - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | ODS MODA COMMERCIAL NETWORKS - Commercial | ODS MODA COMMERCIAL NETWORKS - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | BC PREMERA LIFEWISE - Commercial | BC PREMERA LIFEWISE - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | FIRST HEALTH/COVENTRY - Commercial | FIRST HEALTH/COVENTRY - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | HEALTH NET - Commercial | HEALTH NET - Commercial | $0.14 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | PROVIDENCE MCO - Worker's Compensation | PROVIDENCE MCO - Worker's Compensation | $0.15 | $0.15 | $0.12 | 2026-01-05 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | University Medical Center Employee Health Plan | $5.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Aetna | PPO | $5.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Department of Assistive and Rehabilitative Services | Commercial | $6.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | TeamChoice Advantage | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Great West Healthcare | PPO | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | Physician Network Services Employee Health Plan | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | Resident Plan - Lubbock | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | CapStar | Commercial | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Aetna | Medicare Advantage | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Cigna | Commercial | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | HealthSmart | PPO | $7.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | HMO | $8.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Team Choice | TeamChoice Platinum | $8.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Humana | PPO | $8.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| LAMB HEALTHCARE CENTER Outpatient | Prime Health Services | Commercial | $8.00 | $10.00 | $4.00 | 2025-02-12 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Allegiance | Commercial | $49.00 | $51.00 | $41.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Montana Health Cooperative | PPO | $49.00 | $51.00 | $41.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Pacific Source | Commercial | $50.00 | $51.00 | $41.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Blue Cross Blue Shield - MT | Commercial | $50.00 | $51.00 | $41.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Humana | Medicare Advantage | $52.00 | $51.00 | $41.00 | 2026-05-29 | 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 IP | $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 | 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 | SUPERIOR HEALTH CHIP | SUPERIOR CHIP | $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 | 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 | UHC CHIP | UHC CHIP | $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 | TX CHILDRENS MCAID | TX CHILDRENS MCAID | $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 | 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 | 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 | MOLINA MEDICAID | MOLINA MEDICAID | $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 | SUPERIOR HEALTH MCD | SUPERIOR MCD | $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 | RIGHTCARE S&W MCAID | RIGHTCARE S&W 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 | MISC MCAID HMO | WELLMED MCAID | $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 | WELLMED MCAID | $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 | MISC MCAID HMO | $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 | $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 | $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 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 | 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 | UNITED MEDICAID | MCD UHC STAR PLUS | $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 | 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 | MOLINA MEDICAID | MOLINA MEDICAID | $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 | WELLMED MCAID | $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 | 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 | SUPERIOR HEALTH MCD | SUPERIOR MCD STAR PLUS | $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 ↗ |
| 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 ↗ |
| ASPIRE HOSPITAL Outpatient | Cigna | Commercial | $225.00 | $562.00 | $562.00 | 2026-04-27 | 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 ↗ |
| 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 ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $256.22 | $1,972.50 | $591.75 | 2025-12-04 | 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 ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $279.30 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $281.85 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $281.85 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $307.31 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $307.31 | $1,972.50 | $591.75 | 2025-12-04 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Aetna | Commercial | $309.00 | $562.00 | $562.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield of Texas | Commercial | $309.00 | $562.00 | $562.00 | 2026-04-27 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | BlueCross BlueShield | Commercial | $309.00 | $562.00 | $562.00 | 2026-04-27 | 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 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 ↗ |
| 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 FMC EMPLOYEE | $309.60 | $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 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 ↗ |
| FREESTONE MEDICAL CENTER Both | MISC MULTIPLAN | MISC MULTIPLAN | $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 | MISC MULTIPLAN WORKCOMP | MISC MULTIPLAN WORKCOMP | $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 | SELF PAY LT 090123 | SELF PAY OLD | $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 | SELF PAY GT 083123 | SELF PAY 090123 | $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 | MISC MULTIPLAN AUTO | MISC MULTIPLAN AUTO | $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 | 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 | $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 | 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 | AETNA | AETNA TRS/HMO OP | $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 HMO | $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 TRADITIONAL | $464.40 | $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 | HUMANA | HUMANA | $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 | 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 | GILSBAR | GILSBAR | $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 | MISCELLANEOUS AUTO | MISC AUTO | $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 ↗ |
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.