66935 — Tiagabine
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TIAGABINE (HCPCS 66935) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/66935?code_type=HCPCS
MLA (9th ed.)
“TIAGABINE (HCPCS 66935) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/66935?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TIAGABINE (HCPCS 66935) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/66935?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33–$302 (25th–75th percentile) across 4 hospitals · 50 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 66935 — 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 |
|---|---|---|---|---|---|---|---|
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $19.70 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $19.70 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $21.67 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $21.67 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $22.75 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $22.75 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $23.64 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $23.64 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $23.64 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $23.64 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $24.46 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $24.46 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $25.16 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $25.16 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $25.23 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $25.23 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $26.00 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $26.00 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $26.57 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $26.57 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $26.57 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $26.57 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $26.57 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $26.57 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $26.84 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $26.84 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $27.10 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $27.10 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $27.11 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $27.11 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $27.11 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $27.11 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $27.11 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $27.11 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $27.65 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $27.65 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $28.67 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $28.67 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $32.77 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $32.77 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $33.89 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $33.89 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $37.95 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $37.95 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $37.95 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $37.95 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $54.22 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $54.22 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $57.46 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $57.46 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $63.49 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $63.49 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $64.71 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $64.71 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $67.78 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $67.78 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $69.01 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $69.01 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $72.58 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $75.91 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $75.91 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $75.91 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $75.91 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $76.65 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $76.65 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $86.21 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $86.21 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $90.72 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $109.50 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $109.50 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $109.50 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $109.50 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $118.26 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $118.26 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $127.01 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $130.03 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $136.08 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $136.08 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $142.13 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $166.32 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $166.32 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $166.32 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $166.32 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $181.44 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $182.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $196.56 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $196.56 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $196.56 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $197.10 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $197.10 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $197.10 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $197.10 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $210.92 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $211.68 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $211.68 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $211.68 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $211.68 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $214.70 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $219.00 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $219.00 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $219.00 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $219.00 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $226.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $226.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $226.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $226.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $226.80 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $241.92 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $257.04 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $257.04 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $257.04 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $302.40 | $302.40 | $302.40 | 2026-05-22 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $7,670.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $14,012.50 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $14,012.50 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $14,160.00 | $14,750.00 | $13,275.00 | 2025-12-27 | MRF ↗ |