483500 — Guide Drl Omg 135d Hip I
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GUIDE DRL OMG 135D HIP I (CDM 483500) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/483500?code_type=CDM
MLA (9th ed.)
“GUIDE DRL OMG 135D HIP I (CDM 483500) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/483500?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GUIDE DRL OMG 135D HIP I (CDM 483500) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/483500?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,496–$189,950 (25th–75th percentile) across 3 hospitals · 45 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 483500 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNTAINVIEW HOSPITAL Outpatient | Health Services Coalition | COMM | $436.83 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $460.62 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $460.62 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Imperial NV | MCR | $481.80 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Centene | HIX | $674.52 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | HIX | $693.79 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | OptionsPPO | $700.22 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | CIGNA | OAP | $719.49 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | COMM | $740.37 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | HMO | $819.06 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | PPO | $819.06 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $914.52 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $914.52 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Prominence HealthFirst | COMM | $963.60 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | CMN Global | COMM | $1,349.04 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Emerging Therapy Solutions | MGMCR | $1,573.88 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Hometown Health Providers | HMO/PPO/POS | $1,606.00 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $1,606.00 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | NV Health & Welfare Trust | COMM | $1,927.20 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | INTERNATIONAL | $2,023.56 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | PRIMARY | $2,023.56 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | First Health | COMM | $2,119.92 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Emerging Therapy Solutions | COMM | $2,152.04 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | COMPLEMENTARY | $2,344.76 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Olympus MedSave USA | COMM | $2,409.00 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MedCare International | COMM | $2,409.00 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | First Health | WCOMP | $2,569.60 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $2,873.26 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | FreedomBenefitPlans | $2,873.26 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Elevance (Anthem BCBS) | MCR | $3,212.00 | $3,212.00 | $3,212.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $3,495.99 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $3,495.99 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | Individual | $3,495.99 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | SmallGroup | $3,495.99 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $4,069.52 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | HMO | $4,069.52 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $4,203.68 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $4,203.68 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | HMO | $4,203.68 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | PPO | $4,203.68 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $4,706.78 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Cigna | PPO | $4,706.78 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $5,120.44 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | AllPayerAppendix | $5,120.44 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $5,924.28 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Maine Community Health | LargeGroup | $5,924.28 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $6,394.96 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Tufts Health Plan | POS | $6,394.96 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | POS | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | EPO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | PPO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Aetna | HMO | $7,076.94 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $7,378.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $7,378.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | MVP Health Plan | COMM | $7,826.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | MVP Health Plan | COMM | $7,826.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $8,049.60 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | CorVel | WorkersComp | $8,049.60 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $8,944.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | EverNorth | COMM | $8,944.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $8,944.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Mutual of Omaha | COMM | $8,944.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $9,055.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Claritev (MultiPlan) | COMM | $9,055.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $10,173.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $10,173.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | First Health | PPO | $10,173.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Healthcare Value Mgmt | COMM | $10,173.80 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $10,621.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Oxford Health Plans | COMM | $10,621.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $11,180.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $11,180.00 | $11,180.00 | $11,180.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | IFP | $80,386.43 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | QHP | $83,363.70 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | United | OptionsPPO | $111,945.54 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | ValueHMO | $119,091.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | HMO | $119,091.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior | EPO | $119,091.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Unicare | CHIP | $131,000.10 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | BlueAdvantageHMO | $147,077.39 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | MyBlueHealth | $147,077.39 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Molina Healthcare | HIX | $148,863.75 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | NewBusiness | $157,200.12 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | LocalPlus | $157,200.12 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | OpenAccessPlus | $175,659.23 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | HMO | $175,659.23 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | NetworkBenefit | $175,659.23 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | BlueEssentialsAccess | $189,950.14 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | BlueEssentials | $189,950.14 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | EPOSOA | $199,477.42 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Healthcare Highways | CityofPlano | $201,263.79 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | PPO | $208,409.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna | AllOther | $222,104.71 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | BCBS | Traditional | $264,382.02 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | City of McKinney | COMM | $267,954.75 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Emerging Therapy Solutions | MGMCR | $297,727.50 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | National ChoiceCare | WCOMP | $297,727.50 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | ASA | $313,804.78 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Cigna Lifesource | COMM | $315,591.15 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Rockport Health Group | WORKERSCOMP | $327,500.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna | WCOMP | $327,500.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | PC Texas Partners | WCOMP | $327,500.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Physicians Coop of TX | MGMCR | $327,500.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Averde Health, Inc | PPO | $345,363.90 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna Coventry First Health | EXCLUSIVE | $350,722.99 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $350,722.99 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Mega Life | MGMCRPPO | $416,818.50 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | HealthSmart Preferred Care | PPO | $422,773.05 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Emerging Therapy Solutions | Commercial | $428,727.60 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $446,591.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Molina Healthcare | HIX | $446,591.25 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | USC Health Services | COMM | $476,364.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | USA Managed Care | COMM | $476,364.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | TCU ATHLETICS | COMM | $476,364.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Galaxy Health Network | PPO | $506,136.75 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Optum Transplant | COMM | $512,091.30 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Independent Medical Systems | COMM | $595,455.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Unicare | MCD | $595,455.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | National Healthcare Solutions | COMM | $595,455.00 | $595,455.00 | $595,455.00 | 2026-03-01 | MRF ↗ |