43644 — Lap Gastric Bypass/roux-en-y
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LAP GASTRIC BYPASS/ROUX-EN-Y (CPT 43644) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43644?code_type=CPT
MLA (9th ed.)
“LAP GASTRIC BYPASS/ROUX-EN-Y (CPT 43644) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43644?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LAP GASTRIC BYPASS/ROUX-EN-Y (CPT 43644) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43644?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,964–$11,935 (25th–75th percentile) across 1,409 hospitals · 2,222 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43644 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,964
$5,564 typical
$11,935
The middle 50% of negotiated facility rates for this procedure, measured across 1,409 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,564 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $1,618 × 1.22 commercial. | $1,974 |
| Likely subtotal | $7,538 |
Surgical episode (typical)
~$7,538
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$11,323
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $0.71 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $7.58 | $28,541.49 | $22,833.19 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $7.58 | $28,541.49 | $22,833.19 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $8.09 | $28,541.49 | $22,833.19 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL KANCARE UHC MEDCAID | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE UHC MEDCAID | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $8.46 | $31,945.62 | $20,764.65 | 2026-03-13 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $8.60 | $37,722.66 | $24,519.73 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $8.60 | $37,722.66 | $24,519.73 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $8.60 | $37,722.66 | $24,519.73 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $9.18 | $37,722.66 | $24,519.73 | 2024-12-30 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.48 | $5,266.00 | — | 2024-12-31 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA [5002] | OMC AETNA | — | $83,702.47 | $9,550.56 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FAIROS [5491] | NMC FAIROS | $17.36 | $79,245.97 | $2,138.57 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FAIROS [5491] | HMC FAIROS | $17.36 | $79,245.97 | $2,138.82 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | FAIROS [5491] | CMC FAIROS | $17.36 | $79,245.97 | $2,138.82 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | FAIROS [5491] | CSMC FAIROS | $17.36 | $79,245.97 | $2,138.82 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEDICAL CENTER Outpatient | AETNA | POS | $20.08 | $23.63 | $14.18 | 2025-07-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR OKLAHOMA MEDICAID | $31.11 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $31.11 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $31.11 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $31.11 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC OK MEDICAID (SOONERCARE) | $34.00 | $32,746.90 | $21,285.48 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB OKLC OK MEDICAID (SOONERCARE) | $34.00 | $32,746.90 | $21,285.48 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB OKLC OK MEDICAID (SOONERCARE) | $34.00 | $32,746.90 | $21,285.48 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB OKLC OK MEDICAID (SOONERCARE) | $34.00 | $32,746.90 | $21,285.48 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| BON SECOURS MARYVIEW MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $45.69 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS MARYVIEW MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $45.69 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS MARYVIEW MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $46.60 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS MARYVIEW MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $46.60 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $47.92 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $47.92 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $59.20 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $59.20 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $59.20 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $59.20 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $60.38 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $60.38 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | TRICARE [600001] | HB TRICARE - TN CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | TRICARE [600001] | HB TRICARE - TN CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | TRICARE [600001] | HB TRICARE - TN CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | TRICARE [600001] | HB TRICARE - MS CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | TRICARE [600001] | HB TRICARE - TN CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | TRICARE [600001] | HB TRICARE - TN CONTRACT | $63.02 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $64.40 | $32,746.90 | $21,285.48 | 2026-03-12 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA [5002] | MMC AETNA | — | $78,504.61 | $7,523.26 | 2026-04-01 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $3,289.15 | $3,289.15 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $75.18 | $41,402.64 | $26,911.72 | 2026-03-13 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 188017 [101305] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA [101307] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA MEDICARE SUPPLEMENTAL [101309] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 55270 [101303] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA PRIORITY HEALTH [101308] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH [105102] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH HMA [105104] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | COFINITY CIGNA [101306] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH 853923 [105103] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH PLAN [105101] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA EXPATRIOT BENEFITS [101304] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 182223 [101302] | $78.69 | $62,765.75 | $62,765.75 | 2026-03-23 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $81.48 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $210.00 | $73.50 | 2026-05-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | SELECT SPECIALTY HOSPITAL [100298] | HB Select Medical University - TN Contract | $84.72 | $46,719.52 | $10,278.29 | 2026-03-19 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $89.20 | $3,256.00 | $3,256.00 | 2026-03-23 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MEDICAID INDIANA [2051] | HB XR INDIANA MEDICAID | $94.45 | $53,823.26 | $33,530.83 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA MEDICAID IN [3103] | HB XR INDIANA MEDICAID | $94.45 | $53,823.26 | $33,530.83 | 2025-12-19 | 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.