403 — Traumatic Spinal Cord Injury With Motor Score >= 41.50 And Motor Score < 47.50, No Comorbidity Tier
Cite this view
HANK Price Transparency. (n.d.). Traumatic spinal cord injury with Motor Score >= 41.50 and Motor Score < 47.50, No Comorbidity Tier (OTHER 403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/403?code_type=OTHER
“Traumatic spinal cord injury with Motor Score >= 41.50 and Motor Score < 47.50, No Comorbidity Tier (OTHER 403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/403?code_type=OTHER. Accessed .
“Traumatic spinal cord injury with Motor Score >= 41.50 and Motor Score < 47.50, No Comorbidity Tier (OTHER 403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/403?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $69–$1,500 (25th–75th percentile) across 135 hospitals · 476 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 403 — 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 |
|---|---|---|---|---|---|---|---|
| CASA COLINA HOSPITAL Both | — | — | — | — | — | 2025-03-31 | MRF ↗ |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | Carefirst Negotiated Charge | — | $0.18 | $190.95 | — | 2026-07-30 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $0.32 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $0.32 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $0.32 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $0.33 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $0.33 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $0.34 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $0.34 | $30.80 | — | 2026-05-13 | MRF ↗ |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | Carefirst Negotiated Charge | — | $0.35 | $746.09 | — | 2026-07-30 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $0.57 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $0.57 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $0.66 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $0.66 | $30.80 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $0.72 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $0.72 | $30.80 | — | 2026-05-23 | MRF ↗ |
| MEDSTAR WASHINGTON HOSPITAL CENTER | Carefirst Negotiated Charge | — | $1.05 | $173.14 | — | 2026-07-31 | MRF ↗ |
| MEDSTAR WASHINGTON HOSPITAL CENTER | Carefirst Negotiated Charge | — | $2.01 | $662.49 | — | 2026-07-31 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $3.02 | — | — | 2026-05-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $3.35 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $3.35 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $3.35 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $3.35 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $3.43 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $3.43 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $3.43 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $3.43 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $3.43 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $3.60 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $3.69 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $5.49 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $5.71 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $6.50 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $6.74 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $7.25 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $7.46 | $8.58 | $6.01 | 2026-07-30 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: Bcbs Of Al | — | $8.14 | $22.00 | $11.00 | 2026-07-18 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $8.25 | $25.00 | $13.00 | 2026-08-01 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: Cigna Medicare Adv | — | $8.80 | $22.00 | $11.00 | 2026-07-18 | MRF ↗ |
| MEDSTAR WASHINGTON HOSPITAL CENTER | Carefirst Negotiated Charge | — | $9.36 | $173.14 | — | 2026-07-31 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $9.90 | $30.00 | $15.60 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Ambetter Of Arkansas (Plan: Medicaid Replacement) | — | $10.31 | $25.00 | $13.00 | 2026-08-01 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: Cigna | — | $10.34 | $22.00 | $11.00 | 2026-07-18 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: United Healthcare | — | $10.34 | $22.00 | $11.00 | 2026-07-18 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: Tricare | — | $10.34 | $22.00 | $11.00 | 2026-07-18 | MRF ↗ |
| TRIGG COUNTY HOSPITAL | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $10.39 | $170.00 | $81.60 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $11.25 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Min_Allowable | — | $11.41 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Hmo_Min_Allowable | — | $11.41 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Aetna Ppo - Medicare (Aetna)_Min_Allowable | — | $11.41 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Illinois Department Of Cms_Max_Allowable | — | $11.47 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh200A_Min_Allowable | — | $11.47 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Illinois Department Of Cms_Min_Allowable | — | $11.47 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Illinois Department Of Cms_Avg_Allowable | — | $11.47 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Aetna | Aetna | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Blue Cross | Blue Cross | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | United Healthcare | Uhc All Payer | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | First Health/Coventry | First Health/Coventry | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Mpcn | Mpcn | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Mha | Mha | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Magnolia | Magnolia | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Phcs | Phcs | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Health Partners | Health Partners | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Umr | Uhc All Payer | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | American Life Care | American Life Care | — | $38.00 | $15.96 | 2026-05-06 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Ambetter Of Arkansas (Plan: Medicaid Replacement) | — | $12.38 | $30.00 | $15.60 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $12.52 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | United Healthcare Negotiated Charge | — | $13.69 | $190.95 | — | 2026-07-30 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Uhc Medicare Advantage | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Bcbs Blue Medicare Advantage | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Cigna Medicare Advantage | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Medicare | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Humana Medicare Advantage | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Aetna Medicare Advantage | — | $14.42 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $14.54 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $14.54 | — | — | 2026-05-08 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Apex Medicare Advantage | — | $14.85 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Troy Health Medicare Advantage | — | $14.85 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC | Wellcare Medicare Advantage | — | $14.85 | $100.00 | $25.00 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $15.30 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $15.30 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $15.30 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $15.36 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $15.36 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $15.36 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $15.36 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $15.39 | $56.40 | $53.58 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $15.54 | $82.24 | $20.56 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $15.54 | $82.24 | $20.56 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $15.54 | $82.24 | $20.56 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $15.54 | $82.24 | $20.56 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $16.12 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $16.16 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $16.32 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Aetna - Medicare | — | $16.85 | $78.80 | $39.40 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $16.94 | $30.80 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $16.94 | $30.80 | — | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $17.71 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $17.71 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $17.71 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $17.71 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $17.71 | $79.85 | $24.51 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $17.75 | $20.40 | $5.10 | 2026-07-30 | MRF ↗ |
| MEDSTAR WASHINGTON HOSPITAL CENTER | Carefirst Negotiated Charge | — | $17.92 | $662.49 | — | 2026-07-31 | MRF ↗ |
| WELIA HEALTH | Payer Negotiated Charge: Medicaid Minnesota (Plan: All) | — | $17.97 | $50.00 | $35.00 | 2026-07-31 | MRF ↗ |
| Davie Medical Center | Wellcare Managed Medicaid | — | $19.00 | $100.00 | $50.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | United Community Managed Medicaid | — | $19.00 | $100.00 | $50.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Carolina Complete Health Managed Medicaid | — | $19.00 | $100.00 | $50.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Amerihealth Caritas Managed Medicaid | — | $19.00 | $100.00 | $50.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Bcbs Healthy Blue Managed Medicaid | — | $19.00 | $100.00 | $50.00 | 2026-08-01 | MRF ↗ |
| LADY OF THE SEA GENERAL HOSPITAL | Payer Negotiated Charge: United Healthcare (Plan: All) | — | $19.04 | $50.00 | $50.00 | 2026-07-18 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Commercial | $19.23 | $133.90 | $66.95 | 2026-05-08 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Bcbs | — | $19.68 | $78.80 | $39.40 | 2026-07-31 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL | Payer Negotiated Charge: United Healthcare (Plan: All) | — | $19.91 | $77.00 | $30.80 | 2026-07-30 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh200A_Avg_Allowable | — | $20.01 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES | Payer Negotiated Charge: Aetna (Plan: Medicare Advantage) | — | $20.35 | $38.00 | $30.40 | 2026-07-05 | MRF ↗ |
| Davie Medical Center | Carolina Complete Health Managed Medicaid | — | $21.00 | $109.00 | $55.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Bcbs Healthy Blue Managed Medicaid | — | $21.00 | $109.00 | $55.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Amerihealth Caritas Managed Medicaid | — | $21.00 | $109.00 | $55.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Wellcare Managed Medicaid | — | $21.00 | $109.00 | $55.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | United Community Managed Medicaid | — | $21.00 | $109.00 | $55.00 | 2026-08-01 | MRF ↗ |
| WELIA HEALTH | Payer Negotiated Charge: Medicare A Mn J6 (Plan: All) | — | $21.19 | $50.00 | $35.00 | 2026-07-31 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | Payer Negotiated Charge: Medicare A Mn J6 (Plan: All) | — | $21.47 | $40.00 | $34.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Aetna Ppo - Medicare (Aetna)_Avg_Allowable | — | $21.73 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Aetna Better Health (Pa) (Plan: All) | — | $22.06 | $160.00 | $96.00 | 2026-07-19 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Upmc Health Plan Mcr Adv (Plan: Medicaid Replacement) | — | $22.06 | $160.00 | $96.00 | 2026-07-19 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Avg_Allowable | — | $22.22 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| RAY COUNTY MEMORIAL HOSPITAL | Payer Negotiated Charge: Aetna (Plan: Medicare Advantage) | — | $22.33 | $55.00 | $33.00 | 2026-07-18 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Hmo_Avg_Allowable | — | $22.69 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Both | Molina | Medicaid | $22.72 | $319.00 | $127.60 | 2026-05-06 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $22.72 | $319.00 | $127.60 | 2026-05-08 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000060_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp8391_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp8391_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H4S0200A_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp8391_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Aarp Mcare Advntage Choice Pl1_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp7914_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp7914_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Molina Medicare Qmxbp7914_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Aarp Mcare Advntage Choice Pl1_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P3002001_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Aarp Mcare Advntage Choice Pl1_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000060_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H4S0200A_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm06A00A_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000024_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000025_Avg_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hma29000_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | United Healthcare Insurance Company Calpers_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hma29000_Min_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000025_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0891000_Max_Allowable | — | $22.82 | $123.74 | $126.00 | 2026-07-05 | 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.