704 — Inj, Aflibercept Hd, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, aflibercept hd, 1 mg (OTHER 704) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/704?code_type=OTHER
MLA (9th ed.)
“Inj, aflibercept hd, 1 mg (OTHER 704) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/704?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj, aflibercept hd, 1 mg (OTHER 704) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/704?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $313–$445 (25th–75th percentile) across 248 hospitals · 439 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 704 — 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 |
|---|---|---|---|---|---|---|---|
| Banner Rehabilitation Hospital-west Inpatient | Bcbs | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $7.12 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $7.12 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $7.12 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $7.12 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $7.30 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $7.30 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $7.30 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $7.30 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $7.30 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $7.67 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $7.85 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $11.69 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $13.82 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $14.33 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $15.43 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $15.89 | $18.26 | $12.78 | 2026-07-30 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $46.05 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $46.05 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $46.05 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $48.43 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $48.43 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $49.54 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $51.06 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $51.62 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $53.14 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $70.57 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $73.20 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $83.03 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $83.03 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $89.53 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $97.56 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $101.29 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $102.40 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $102.40 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $102.68 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $110.70 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $110.70 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $110.70 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $110.70 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $117.62 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $117.62 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $138.38 | $138.38 | $89.95 | 2026-05-28 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $182.53 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $216.90 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $221.03 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $221.03 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $223.58 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $233.59 | — | — | 2024-10-01 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Molina | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | United Healthcare | Managed Medicaid (Uhc Community Plan Product) | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Bcbs | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Commercial Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Mmm Of Florida | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Simply Healthcare | Commercial | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Commercial Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Americhoice | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Jmh | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Cigna Healthspring | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Molina | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Commercial Epo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Optum Health Ccn | Veterans/Military (Va Contract) | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Wellcare | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Epo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Solis Health Plans | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | America'S Choice Provider Network | Commercial | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Mmm Of Florida | Medicare Advantage Dual Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | America'S Choice Provider Network | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Bcbs | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana Military Tricare | Veterans/Military | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Simply Healthcare | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Gold Kidney Health Plans | Medicare Advantage Dual Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Employers Health Network | Commercial | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Simply Healthcare | Managed Medicaid | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Gold Kidney Health Plans | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Cigna Healthspring | Medicare Advantage Dual Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Cigna Healthspring | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Corvel | Commercial | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Careplus Health Plan | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Gold Kidney Health Plans | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Leon Medical Center Health Plan | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Coventry First Health | Commercial Aca/Exchange | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Commercial Pos | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Gold Kidney Health Plans | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| West Gables Rehabilitation Hospital Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $245.59 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $250.27 | — | — | 2024-10-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $255.33 | — | — | 2026-01-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $260.91 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $260.91 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $260.94 | — | — | 2026-03-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $263.48 | — | — | 2026-07-15 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $266.96 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $266.96 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $266.96 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $266.96 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $266.96 | — | — | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $270.90 | — | — | 2026-01-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $276.29 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $276.29 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $276.29 | — | — | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $286.74 | — | — | 2026-09-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $290.10 | — | — | 2026-03-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $290.98 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $290.98 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $290.98 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $290.98 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $290.98 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Palm Beach PACE | MCR | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | Wellpoint | MGMCD | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $291.64 | — | — | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Oscar | MGMCR | $292.71 | — | — | 2026-09-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $293.65 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $293.65 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $293.65 | — | — | 2024-10-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $294.26 | — | — | 2026-09-11 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $294.71 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $294.71 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Oscar | MGMCR | $295.15 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $295.81 | — | — | 2026-05-13 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | WellMed | MGMCR | $297.19 | — | — | 2026-09-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $297.78 | — | — | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRHMO | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRPPO | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Alignment Health | MCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRSNP | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | VACCN | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Veteran's Administration | FEDERAL | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MMP | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRPPO | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | PFFS | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Devoted Health | MCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Alignment Health | MCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Alignment Health | MCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | VACCN | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | VACCN | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | TriWest Healthcare Alliance | Veterans | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Humana | MedicareAdvantagePPOPFFS | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Humana | MedicareAdvantageHMO | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Amerigroup | DualEligible | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | CHC Harris Health | Indigent | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Devoted Health | MCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Devoted Health | MGMCR | $298.68 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $300.33 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $300.33 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | TriWest VA PCCC | FEDERAL | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | MCD | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | TriWestGOV | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | TriWest | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Coventry Altius | MCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Healthcare Alliance | VeteransPCCC | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | GVT | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | MGMCR | $300.85 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | CHC Harris Health | Indigent | $301.18 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Humana | MedicareAdvantagePPOPFFS | $301.18 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Humana | MedicareAdvantageHMO | $301.18 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | TriWest Healthcare Alliance | Veterans | $301.18 | — | — | 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.