5881 — Ancillary Outpatient Serv
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ancillary Outpatient Serv (OTHER 5881) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5881?code_type=OTHER
MLA (9th ed.)
“Ancillary Outpatient Serv (OTHER 5881) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5881?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ancillary Outpatient Serv (OTHER 5881) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5881?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,755–$15,271 (25th–75th percentile) across 276 hospitals · 367 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5881 — 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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $213.00 | $106.50 | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $306.25 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $306.25 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $313.25 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $322.88 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $326.38 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $336.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $446.25 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $462.88 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $525.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $525.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $566.13 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $616.88 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $640.50 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $647.50 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $647.50 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $649.25 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $700.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $700.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $700.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $700.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $743.75 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $743.75 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $875.00 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | $2,142.31 | — | — | 2025-07-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $2,283.52 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $2,283.52 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $2,646.44 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $3,169.19 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $3,169.19 | $875.00 | $568.75 | 2026-05-28 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | IBC PPO | $3,519.00 | — | — | 2025-07-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $4,445.85 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $4,827.13 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $5,071.69 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $5,298.78 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $5,903.01 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $5,941.08 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $6,366.92 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $6,366.92 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $6,366.92 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $6,661.32 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $6,661.32 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $6,661.32 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $6,863.23 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $6,863.23 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $6,863.23 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $6,863.23 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $6,863.23 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $7,013.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,013.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,013.67 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $7,013.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $7,013.67 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $7,051.75 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $7,067.19 | — | — | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCD | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Hospice of North Central FL | MCR | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Hospice of North Central FL | FEDERAL | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $7,162.79 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $7,174.78 | — | — | 2026-07-15 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $7,174.81 | — | — | 2024-06-27 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $7,191.20 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $7,191.20 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $7,204.26 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $7,204.26 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $7,204.26 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $7,204.26 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $7,204.26 | — | — | 2025-01-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $7,228.59 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,242.38 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,242.38 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $7,242.38 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $7,242.38 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $7,242.38 | — | — | 2025-01-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Uhc Medicare Advantage Ppo | Uhc Medicare Advantage Ppo | $7,390.03 | — | — | 2026-07-15 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Humana | ChoicecareMGMCR | $7,422.90 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Sarah Cannon Research | COMM | $7,422.90 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Vidalia Health | COMM | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Eon Health DME | MCR | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | BCBS | MCR | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United | VACCN | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | FED | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | MGMCR | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Humana | MGMCR | $7,426.35 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $7,471.09 | — | — | 2025-01-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | MCR | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | MCR | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | HealthSpring | PPO | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | HealthSpring | MCRHMO | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | HealthSpring | PFFS | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | HealthSpring | PFFS | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | HealthSpring | PPO | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | HealthSpring | MCRHMO | $7,500.62 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | MGMCRSNP | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | MGMCRPFFS | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Coventry | MCR | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | MGMCRPPO | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | DualEligibles | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | MGMCRHMO | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Coventry Health Care | MCR | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Humana | MGMCRPOS | $7,500.98 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | HUMANA | MCR | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | United | VACCN | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Devoted Health | MEDICARE | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRPPO | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | BCBS | MCRSelect | $7,525.20 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Humana Medicare Advantage All | Humana Medicare Advantage All | $7,533.52 | — | — | 2026-07-15 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Wellcare | Wellcare | $7,533.52 | — | — | 2026-07-15 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE TELEHEALTH | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE SWINGBED | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE PART B ONLY | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE ROSTER BILLING | MEDICARE ROSTER BILLING | $7,533.55 | — | — | 2024-06-27 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | MCR | $7,538.49 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $7,545.23 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $7,555.85 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $7,555.85 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $7,555.85 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $7,555.85 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $7,555.85 | — | — | 2024-10-01 | MRF ↗ |
| PINEWOOD SPRINGS Outpatient | Humana BH | MCR | $7,560.30 | — | — | 2024-10-01 | MRF ↗ |
| PINEWOOD SPRINGS Outpatient | Amerigroup | MGMCR | $7,560.30 | — | — | 2024-10-01 | MRF ↗ |
| PINEWOOD SPRINGS Outpatient | Devoted Health Plan | MCR | $7,560.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $7,560.72 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $7,560.72 | — | — | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | United | MCR | $7,562.83 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Good Samaritan Hospice | COMM | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United Mine Workers | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | United | VACCN | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | VACCN | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Magellan | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Good Samaritan Hospice | COMM | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Good Samaritan Hospice | COMM | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | VACCN | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | United Mine Workers | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Humana | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Mine Workers | MCR | $7,563.75 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | United Behavioral Health | VACCN | $7,563.75 | — | — | 2024-10-01 | 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.