63655 — Implant Neuroelectrodes
Cite this view
HANK Price Transparency. (n.d.). Implant neuroelectrodes (OTHER 63655) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63655?code_type=OTHER
“Implant neuroelectrodes (OTHER 63655) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63655?code_type=OTHER. Accessed .
“Implant neuroelectrodes (OTHER 63655) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63655?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,624–$22,961 (25th–75th percentile) across 63 hospitals · 205 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 63655 — 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 |
|---|---|---|---|---|---|---|---|
| ARKANSAS SURGICAL HOSPITAL | Bcbs Western New York Mc | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Vaccm Optum | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare Medicare Advantage | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Supplement Ins | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Americo Medicare Suppl | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Senior Supl Ins | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aarp Medicare Advantage | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Senior Supp | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Senior Supplement | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Va Ccn Optum | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna True Choice Medicar | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Sterling Medicare Select | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Humana Hmo Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Wellcare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Uhc Hmo Aarp | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Hmo Humana Gold | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Senior Supplemental | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Americo Medicare Suppleme | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Supp Plan | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Humana Choice Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Railroad Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare Mc Plan | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Hmo Humana Gold Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Medicare Advantage Misc | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Medicare Supplement | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Windsor Medicare Extra | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Humana Gold Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetna Medicare Advantage | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | United Healthcare Aarp | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Hmo Aarp Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Va Cnn Optum | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Hmo Uhc Aarp | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Csi Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Humana Medicare Hmo | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Healthspring | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Uhc Aarp Hmo | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aetnaseniorproducts | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Tricare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Hmo Cigna Medicare | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Aarp Medicare Complete | — | $22.66 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Ambetter Of Arkansas | — | $31.72 | $7,125.00 | $26,258.21 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $55.65 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $58.76 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $61.39 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $63.15 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $64.21 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $64.21 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $64.21 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $65.77 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $68.41 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $78.06 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $78.93 | $87.70 | $43.85 | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $81.61 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $81.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $115.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $115.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $120.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $120.24 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $120.24 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $120.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $121.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $121.52 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $124.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $124.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $124.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $124.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $127.91 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $127.91 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $130.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $130.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $130.47 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $130.47 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $131.75 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $131.75 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $131.75 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $131.75 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $131.75 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $131.75 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $136.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $136.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $138.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $138.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $138.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $138.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $139.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $139.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $164.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $164.23 | — | — | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $3,660.00 | $1,830.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $3,660.00 | $1,830.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $3,660.00 | $1,830.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $3,660.00 | $1,830.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $3,660.00 | $1,830.00 | 2026-05-13 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $92,725.37 | $46,362.69 | 2026-07-05 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $310.97 | $2,522.00 | $1,765.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $310.97 | $2,522.00 | $1,765.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $310.97 | $2,522.00 | $1,765.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $310.97 | $2,522.00 | $1,765.40 | 2026-05-14 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $328.95 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $347.64 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $347.64 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $347.64 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $347.64 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $347.64 | — | — | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $387.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $387.66 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $469.03 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $469.03 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $473.58 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $539.32 | $1,841.00 | $920.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $539.32 | $1,841.00 | $920.50 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $546.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $546.27 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $549.75 | $1,888.00 | $944.00 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $571.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $571.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $571.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $571.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $577.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $577.21 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $589.51 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $589.51 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $589.51 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $589.51 | — | — | 2026-05-14 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Amerigroup|All Plans | — | $604.45 | — | — | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $607.59 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $607.59 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $619.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $619.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $619.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $619.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $625.82 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $625.82 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $625.82 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $625.82 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $625.82 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $625.82 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $634.24 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $646.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $646.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $646.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $646.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $646.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $646.10 | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.