421 — Hepatobiliary Diagnostic Procedures With Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC (OTHER 421) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/421?code_type=OTHER
MLA (9th ed.)
“HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC (OTHER 421) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/421?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC (OTHER 421) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/421?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64–$12,460 (25th–75th percentile) across 368 hospitals · 644 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 421 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $0.03 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $0.05 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $0.06 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $0.06 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $0.07 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $0.07 | $0.08 | $0.06 | 2026-07-30 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Blue Cross Blue Shield Of Ar (Plan: Medicare Advantage) | — | $6.79 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Aetna Medicare Advantage (Plan: Medicare Advantage) | — | $6.79 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Wellcare Health Plan Inc Mcr Adv (Plan: Medicare Advantage) | — | $6.79 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $6.86 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $6.93 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Allwell Mcr Adv (Plan: Medicare Advantage) | — | $7.00 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| OZARK HEALTH | Payer Negotiated Charge: Ambetter Of Arkansas (Plan: Medicaid Replacement) | — | $8.66 | $21.00 | $10.92 | 2026-08-01 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $9.28 | $40.00 | $20.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $9.28 | $40.00 | $20.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $9.28 | $40.00 | $20.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $40.00 | $20.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $40.00 | $20.00 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $9.28 | $40.00 | $20.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $48.00 | $24.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $9.28 | $48.00 | $24.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $9.28 | $40.00 | $20.00 | 2026-05-22 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H4S0200A_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000024_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh200A_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P3002001_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000022_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H400200A_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P30S2001_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H400200A_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H4S0200A_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000060_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm06A00A_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P30S2001_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000022_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P30S2001_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000060_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H400200A_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P3002001_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0891000_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs H4S0200A_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh200A_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh200A_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000025_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Hmo_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000025_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm06A00A_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh100A_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0891000_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hma29000_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm06A00A_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000024_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000025_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hma29000_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hm002001_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000023_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000022_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs P3002001_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000024_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0891000_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Hma29000_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs B0000060_Avg_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh100A_Max_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Blue Cross Medicare Advantage C/O Provider Svcs Nmrh100A_Min_Allowable | — | $10.86 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE | Payer Negotiated Charge: United Healthcare (Plan: All) | — | $11.33 | $126.88 | — | 2026-05-22 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Hmo_Avg_Allowable | — | $11.42 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Aetna Oxy Ppo With Rx Plan Net 04218_Avg_Allowable | — | $11.79 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Aetna Oxy Ppo With Rx Plan Net 04218_Min_Allowable | — | $11.79 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Aetna Oxy Ppo With Rx Plan Net 04218_Max_Allowable | — | $11.79 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Min_Allowable | — | $11.79 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Avg_Allowable | — | $12.09 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Max_Allowable | — | $12.24 | $78.00 | $78.00 | 2026-07-05 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $317.00 | $158.50 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $12.70 | $317.00 | $158.50 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $12.70 | $317.00 | $158.50 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $12.70 | $317.00 | $158.50 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $317.00 | $158.50 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $380.00 | $190.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $12.70 | $317.00 | $158.50 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $12.70 | $380.00 | $190.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $12.70 | $317.00 | $158.50 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.09 | $100.00 | $50.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.09 | $100.00 | $50.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.09 | $100.00 | $50.00 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $100.00 | $50.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $100.00 | $50.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $120.00 | $60.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $100.00 | $50.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.09 | $100.00 | $50.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.09 | $120.00 | $60.00 | 2026-05-22 | MRF ↗ |
| Unm Sandoval Regional Medical Center | Humana Inc. Medicare Advantage Ppo_Avg_Allowable | — | $13.19 | $108.33 | $104.00 | 2026-07-05 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $200.00 | $100.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $200.00 | $100.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.86 | $200.00 | $100.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.86 | $200.00 | $100.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.86 | $200.00 | $100.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $240.00 | $120.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $13.86 | $200.00 | $100.00 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $240.00 | $120.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $13.86 | $200.00 | $100.00 | 2026-05-22 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE | Payer Negotiated Charge: Aetna (Plan: All) | — | $14.09 | $126.88 | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $80.00 | $40.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $15.27 | $80.00 | $40.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $15.27 | $80.00 | $40.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $80.00 | $40.00 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $15.27 | $80.00 | $40.00 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $15.27 | $96.00 | $48.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $15.27 | $96.00 | $48.00 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $15.27 | $80.00 | $40.00 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $15.27 | $80.00 | $40.00 | 2026-05-14 | 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.