475 — Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
Cite this view
HANK Price Transparency. (n.d.). AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC (OTHER 475) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/475?code_type=OTHER
“AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC (OTHER 475) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/475?code_type=OTHER. Accessed .
“AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC (OTHER 475) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/475?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,016–$32,128 (25th–75th percentile) across 575 hospitals · 1,705 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 475 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana | Humana | $0.82 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amg | Amg | $0.87 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $1.27 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $1.27 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $1.29 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $1.29 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $1.29 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $1.29 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Vantage Health Plan | Vantage Health Plan | $2.06 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $3.37 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $3.37 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $3.37 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Gilsbar 360 | Gilsbar 360-Non-Exclusive | $3.46 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Gilsbar 360 | Gilsbar 360-Exclusive | $4.14 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Uhc | Uhc Nexus | $4.38 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Uhc | Uhc Nexus | $4.38 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Aetna | Aetna Medicare Advantage | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Medica Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Humana | Humana Medicare Advantage | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Humana | Humana Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Medicare Advantage | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc Medicare Advantage | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Medica Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Medicare Advantage | $4.43 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Medica | Medica Medicare Advantage | $4.43 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $4.48 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $4.48 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $4.52 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $4.52 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $4.52 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc | $4.97 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc | $4.97 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Elevate By Medica | $6.36 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Elevate By Medica | $6.36 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica Choice | Medica Choice | $7.47 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica Choice | Medica Choice | $7.47 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $8.40 | $3,366.00 | $2,390.53 | 2026-05-08 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $9.17 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elite Choice | Elite Choice | $9.22 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Elite Choice | Elite Choice | $9.22 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Elite Choice | Elite Choice | $9.22 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $9.36 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $9.36 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Alliance Nhn | Alliance Nhn | $10.74 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ne Furniture Mart | Ne Furniture Mart | $15.18 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ne Furniture Mart | Ne Furniture Mart | $15.18 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Inpatient | Wellmark | Wellmark Hmo | $16.50 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Inpatient | Wellmark | Wellmark Hmo | $16.50 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $17.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Healthsync | $17.79 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Hmo | $18.15 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Hmo | $18.15 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna | $19.20 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna | $19.20 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $20.93 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Midlands Choice | Midlands Choice | $23.10 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Midlands Choice | Midlands Choice | $23.10 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $24.94 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs | $27.89 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Select | $27.89 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Select | $27.89 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs | $27.89 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Ppo | $29.33 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Ppo | $29.33 | $33.00 | $11.88 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $38.25 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Connecticut General Life Insurance Company | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | PRIVATE HEALTHCARE | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $49.22 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $51.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $51.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $53.42 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $54.40 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $55.25 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $55.25 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $55.79 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $56.10 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $57.12 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $57.54 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $58.37 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $59.07 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $59.07 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $59.07 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $59.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $59.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $60.96 | — | — | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $61.04 | $65.63 | $49.22 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $61.20 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $61.20 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $62.05 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $62.90 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elevate By Medica | Elevate By Medica | $63.90 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $64.60 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $66.30 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $67.50 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $67.50 | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $68.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $68.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $69.52 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $69.52 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $69.52 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $70.20 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $70.87 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $70.87 | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $85.00 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $98.43 | — | — | 2026-05-06 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $110.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $110.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $110.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $110.50 | $85.00 | $55.25 | 2026-05-13 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Ne Furniture Mart | Ne Furniture Mart | $117.86 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc | $119.56 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs Select | $120.70 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs | $120.70 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Medica Choice | Medica Choice | $124.96 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Select | $127.09 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs | $127.09 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Multiplan | Multiplan | $127.80 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | United Healthcare | Uhc | $127.94 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $129.22 | — | — | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $132.24 | $348.01 | $261.01 | 2026-05-08 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Midlands Choice | Midlands Choice | $133.48 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $134.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $134.40 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $134.40 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $134.40 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $134.40 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $134.40 | — | — | 2026-05-07 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Aetna | Aetna | $136.32 | $142.00 | $52.54 | 2026-05-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $139.77 | — | — | 2026-05-07 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $141.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $141.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $141.12 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $141.12 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $143.81 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $144.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $145.15 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $145.15 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $145.15 | — | — | 2026-05-07 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid United Healthcare Community | — | $145.34 | $1,112.30 | $556.15 | 2026-05-06 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.