64656 — Revj/rplcmt Bat Mod Sys Pg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revj/rplcmt bat mod sys pg (CPT 64656) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64656?code_type=CPT
MLA (9th ed.)
“Revj/rplcmt bat mod sys pg (CPT 64656) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64656?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Revj/rplcmt bat mod sys pg (CPT 64656) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64656?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,250–$45,570 (25th–75th percentile) across 499 hospitals · 608 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64656 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$23,250
$32,949 typical
$45,570
The middle 50% of negotiated facility rates for this procedure, measured across 499 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $32,949 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $427 × 1.22 commercial. | $521 |
| Likely subtotal | $33,470 |
Surgical episode (typical)
~$33,470
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$37,254
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $7.00 | $9.00 | $9.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $7.00 | $9.00 | $9.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $9.00 | $9.00 | $9.00 | 2026-03-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $254.16 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $254.16 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $321.05 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $401.31 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $418.65 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $418.65 | — | — | 2026-04-30 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Dignity/Chw | Ucd Hb Dignity Health Hmo | $423.49 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | VACCN | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | VACCN | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/HMO | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage/HMO | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $427.20 | — | — | 2026-04-30 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $46,227.00 | $20,802.15 | 2026-03-13 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Molina Marketplace | Medicare Advantage | $469.92 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Molina Marketplace | Medicare Advantage | $469.92 | — | — | 2026-04-30 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $480.00 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $488.00 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Ambetter | Commercial/Exchange | $512.64 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Ambetter | Commercial/Exchange | $512.64 | — | — | 2026-04-30 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $561.83 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $575.21 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Mississippi Physicians Care Network (MPCN) | Commercial | $576.72 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Mississippi Physicians Care Network (MPCN) | Commercial | $576.72 | — | — | 2026-04-30 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $601.97 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $601.97 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $628.72 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Healthcare | $642.10 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $648.14 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $663.89 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $663.89 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Aetna Whole Health | Commercial | $681.32 | — | — | 2026-04-01 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $709.72 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Options Ppo | $789.24 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $802.62 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $826.52 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $826.52 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $828.45 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $828.45 | — | — | 2026-03-20 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | NON-ABD | $839.76 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $839.76 | $2,818.00 | $1,690.80 | 2026-02-12 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $869.50 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Care Management Network | Care Management Network | $869.51 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careworks Workers Comp | Careworks Workers Comp | $902.95 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $929.00 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $933.05 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $936.39 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $936.39 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $936.39 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $936.39 | $1,337.70 | $1,337.70 | 2026-05-22 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Superior Health Plan | MGMCD | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Molina Healthcare | MCR | — | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Molina Healthcare | MME-MMP | — | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Superior Health Plan | MGMCD | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $948.00 | — | — | 2026-03-01 | 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.