4000166 — Lens Ring 12mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LENS RING 12MM (CDM 4000166) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4000166?code_type=CDM
MLA (9th ed.)
“LENS RING 12MM (CDM 4000166) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4000166?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“LENS RING 12MM (CDM 4000166) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4000166?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $318–$3,836 (25th–75th percentile) across 6 hospitals · 89 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4000166 — 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 |
|---|---|---|---|---|---|---|---|
| BIG SANDY MEDICAL CENTER Both | Pacific Source | Commercial | $5.00 | $5.00 | $4.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Montana Health Cooperative | PPO | $5.00 | $5.00 | $4.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Blue Cross Blue Shield - MT | Commercial | $5.00 | $5.00 | $4.00 | 2026-05-29 | MRF ↗ |
| BIG SANDY MEDICAL CENTER Both | Humana | Medicare Advantage | $5.00 | $5.00 | $4.00 | 2026-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | TRICARE WEST - ALL PLANS | TRICARE WEST - ALL PLANS | $11.64 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $13.23 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFIC SOURCE MCR ADV | PACIFIC SOURCE MCR ADV | $13.23 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | ATRIO MCR ADV - ALLPLANS | ATRIO MCR ADV - ALLPLANS | $13.23 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CONFEDERATED TRIBES - ALL PLANS | CONFEDERATED TRIBES - ALL PLANS | $13.23 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA MCR ADV | MODA MCR ADV | $13.23 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $13.63 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $13.89 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $18.30 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $19.85 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BCBS COMM - ALL OTHER PLANS | BCBS COMM - ALL OTHER PLANS | $20.51 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $20.95 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $20.95 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE COMM - ALL PLANS | PROVIDENCE COMM - ALL PLANS | $20.95 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $20.95 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $20.95 | $22.05 | $22.05 | 2026-10-09 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | BCBS MCR ADV | BCBS MCR ADV | $223.92 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | TRICARE | TRICARE EAST | $259.56 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | TRICARE | TRICARE FOR LIFE | $259.56 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | TRICARE | TRICARE EAST | $259.56 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | TRICARE | TRICARE FOR LIFE | $259.56 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | BLUE CROSS MEDICARE ADV | BLUE CROSS MEDICARE ADV | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE LOC | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE (HCFA) | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE LOC | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | RAILROAD MEDICARE | RAILROAD MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CIGNA MEDICARE ACCESS | CIGNA MEDICARE ACCESS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GENERATIONS | GENERATIONS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHMARKET CARE ASSURED | HEALTHMARKET CARE ASSURED | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PYRAMID LIFE TODAYS OPT | PYRAMID LIFE TODAYS OPT | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PACIFICARE | PACIFICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE (MCR) | UNITED HEALTHCARE (MCR) | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE ADVANTAGE | MEDICARE ADVANTAGE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE ADVANTAGE | MEDICARE ADV LOC | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GLOBALHEALTH MEDICARE HMO | GLOBALHEALTH MEDICARE HMO | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | BLUE CROSS MEDICARE ADV | BLUE CROSS MEDICARE ADV | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MVA/LAWSUITS | MVA/LAWSUITS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AETNA (MCR REPLACEMENT) | AETNA MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE | MEDICARE (HCFA) | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GENERATIONS | GENERATIONS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CIGNA MEDICARE ACCESS | CIGNA MEDICARE ACCESS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | RAILROAD MEDICARE | RAILROAD MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HUMANA GOLD MEDICARE | HUMANA GOLD CHOICE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OKLAHOMA CITY AREA HEALTH | OKLAHOMA CITY AREA HEALTH | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | OKLAHOMA CITY AREA HEALTH | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OKLAHOMA CITY AREA HEALTH | OKLAHOMA CITY AREA HEALTH | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | OKLAHOMA CITY AREA HEALTH | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AETNA (MCR REPLACEMENT) | AETNA MEDICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MVA/LAWSUITS | MVA/LAWSUITS | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HUMANA GOLD MEDICARE | HUMANA GOLD CHOICE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GLOBALHEALTH MEDICARE HMO | GLOBALHEALTH MEDICARE HMO | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE ADVANTAGE | MEDICARE ADV LOC | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MEDICARE ADVANTAGE | MEDICARE ADVANTAGE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE (MCR) | UNITED HEALTHCARE (MCR) | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PACIFICARE | PACIFICARE | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PYRAMID LIFE TODAYS OPT | PYRAMID LIFE TODAYS OPT | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHMARKET CARE ASSURED | HEALTHMARKET CARE ASSURED | $302.82 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHCHOICE | HEALTHCHOICE | $310.03 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHCHOICE | HEALTHCHOICE | $310.03 | $721.00 | — | 2025-11-03 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $311.00 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OKLAHOMA COMPLETE HEALTH | OKLAHOMA COMPLETE HEALTH | $324.23 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OKLAHOMA COMPLETE HEALTH | OKLAHOMA COMPLETE HEALTH | $324.23 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GOLDEN RULE INSURANCE CO | GOLDEN RULE INSURANCE CO | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | ALL SAVERS | ALL SAVERS | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GEHA UHIS | GEHA UHIS | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | ALL SAVERS | ALL SAVERS | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GEHA UHIS | GEHA UHIS | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GOLDEN RULE INSURANCE CO | GOLDEN RULE INSURANCE CO | $360.50 | $721.00 | — | 2025-11-03 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $373.20 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $373.20 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COVENTRY HEALTH & LIFE | COVENTRY HEALTH & LIFE | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | SELF PAY | SELF PAY | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | SELF PAY | SELF PAY | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AETNA | AETNA | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COVENTRY HEALTH & LIFE | COVENTRY HEALTH & LIFE | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AETNA | AETNA | $504.70 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GEHA UHIS | GEHA UHIS | $540.75 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GEHA UHIS | GEHA UHIS | $540.75 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GLOBAL HEALTH | GLOBAL HEALTH | $576.80 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GLOBAL HEALTH | GLOBAL HEALTH | $576.80 | $721.00 | — | 2025-11-03 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $600.00 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GREAT-WEST HEALTHCARE/PCC | GREAT-WEST HEALTHCARE/PCC | $617.89 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $617.89 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $617.89 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | GREAT-WEST HEALTHCARE/PCC | GREAT-WEST HEALTHCARE/PCC | $617.89 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOLDENVILLE PUBLIC SCHOOL | HOLDENVILLE PUBLIC SCHOOL | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOLDENVILLE PUBLIC SCHOOL | HOLDENVILLE PUBLIC SHOOLS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | KEMPER HEALTH | KEMPER HEALTH | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PREFERRED COMMUNITY CHOIC | PREFERRED COMMUNITY CHOIC | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OFFICE OF DIST ATTORNEY | OFFICE OF DIST ATTORNEY | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MUTUAL ASSURANCE ADMIN | MUTUAL ASSURANCE ADMIN | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INSURANCE | INSURANCE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AARP HEALTHCARE OPTIONS | AARP HEALTHCARE OPTIONS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | CHICKASAW NATION MED CTR | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | WEWOKA INDIAN HEALTH PRC | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | CHICKASAW NATION MED CTR | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INSURANCE | INSURANCE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MUTUAL ASSURANCE ADMIN | MUTUAL ASSURANCE ADMIN | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | OFFICE OF DIST ATTORNEY | OFFICE OF DIST ATTORNEY | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | PREFERRED COMMUNITY CHOIC | PREFERRED COMMUNITY CHOIC | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | KEMPER HEALTH | KEMPER HEALTH | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOLDENVILLE PUBLIC SCHOOL | HOLDENVILLE PUBLIC SHOOLS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOLDENVILLE PUBLIC SCHOOL | HOLDENVILLE PUBLIC SCHOOL | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HP ADMINISTRATIVE SERV | HP ADMINISTRATIVE SERV | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CORECIVIC CLAIMS DEPT | CORECIVIC CLAIMS DEPT | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MUSCOGEE NATION CONTRACT | MUSCOGEE NATION CONTRACT | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNIVERSAL HEALTH CARE | UNIVERSAL HEALTH CARE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COMPSOURCE OKLAHOMA | COMPSOURCE OKLAHOMA | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COMPSOURCE OKLAHOMA | COMPSOURCE MUTUAL INS CO | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COVID19 HRSA UNINSURED | COVID19 HRSA UNINSURED | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | INDIAN HEALTH SERVICE | WEWOKA INDIAN HEALTH PRC | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | AARP HEALTHCARE OPTIONS | AARP HEALTHCARE OPTIONS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | WEBTPA | WEBTPA | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED AMERICAN | UNITED AMERICAN | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | WORKERS COMPENSATION | WORKERS COMP | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHCHOICE | AMBETTER MARKETPLACE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MAILHANDLERS | MAILHANDLERS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNIVERSAL FIDELITY | UNIVERSAL FIDELITY | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOSPICE | HOSPICE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | KAISER PERMANENTE | KAISER PERMANENTE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | STANDARD LIFE | STANDARD LIFE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | SUREST | SUREST | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | SUREST | SUREST | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | STANDARD LIFE | STANDARD LIFE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | KAISER PERMANENTE | KAISER PERMANENTE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HOSPICE | HOSPICE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNIVERSAL FIDELITY | UNIVERSAL FIDELITY | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MAILHANDLERS | MAILHANDLERS | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COVID19 HRSA UNINSURED | COVID19 HRSA UNINSURED | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HEALTHCHOICE | AMBETTER MARKETPLACE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | WORKERS COMPENSATION | WORKERS COMP | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COMPSOURCE OKLAHOMA | COMPSOURCE OKLAHOMA | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNITED AMERICAN | UNITED AMERICAN | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | WEBTPA | WEBTPA | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | COMPSOURCE OKLAHOMA | COMPSOURCE MUTUAL INS CO | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | UNIVERSAL HEALTH CARE | UNIVERSAL HEALTH CARE | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | MUSCOGEE NATION CONTRACT | MUSCOGEE NATION CONTRACT | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | CORECIVIC CLAIMS DEPT | CORECIVIC CLAIMS DEPT | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | HP ADMINISTRATIVE SERV | HP ADMINISTRATIVE SERV | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | FIRST HEALTH NETWORK | FIRST HEALTH NETWORK | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| HOLDENVILLE GENERAL HOSPITAL Inpatient | FIRST HEALTH NETWORK | FIRST HEALTH NETWORK | $721.00 | $721.00 | — | 2025-11-03 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $808.60 | $1,244.00 | $870.80 | 2026-01-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Humana | Medicare Advantage | $1,859.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Blue Cross and Blue Shield | Medicare Advantage | $1,859.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Aetna | Medicare Advantage | $1,859.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | United Healthcare | Medicare Advantage | $1,859.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Molina | Medicare Advantage | $1,952.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Great Plains | Medicare Advantage | $1,952.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $2,318.26 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $2,527.06 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $2,550.08 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $2,550.08 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $2,780.48 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $2,780.48 | $17,846.50 | $5,353.95 | 2025-12-04 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | United Healthcare | Commercial | $3,520.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Blue Cross and Blue Shield | Commercial | $3,757.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Ambetter | Commercial | $3,797.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Midland's Choice | Commercial | $3,876.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| CALLAWAY DISTRICT HOSPITAL Both | Aetna | Commercial | $3,876.00 | $3,955.00 | $3,560.00 | 2026-06-30 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | SELF PAY | SELF PAY OP | $5,353.95 | $17,846.50 | $5,353.95 | 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.