736 — Amphotericin B Liposome I
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Amphotericin b liposome i (OTHER 736) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/736?code_type=OTHER
MLA (9th ed.)
“Amphotericin b liposome i (OTHER 736) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/736?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Amphotericin b liposome i (OTHER 736) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/736?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22–$26,109 (25th–75th percentile) across 426 hospitals · 767 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 736 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $1.60 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $1.60 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $1.60 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $1.60 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $1.64 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $1.64 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $1.64 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $1.64 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $1.64 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $1.72 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $1.76 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $2.62 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $3.10 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $3.11 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3.11 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3.11 | — | — | 2026-03-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $3.22 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $3.46 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $3.57 | $4.10 | $2.87 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $4.97 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $5.41 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $6.18 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $6.29 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $6.48 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $6.50 | $365.89 | $91.47 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $6.50 | $365.89 | $91.47 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $6.50 | $365.89 | $91.47 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $6.50 | $365.89 | $91.47 | 2026-07-31 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $6.88 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $7.69 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $7.91 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $8.18 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $8.51 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $9.44 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $9.54 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $9.54 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $9.54 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $10.02 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $10.02 | $212.43 | — | 2026-05-13 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $10.17 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $10.27 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $10.66 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $11.27 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $11.72 | $27.06 | $16.24 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $11.72 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $11.94 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $12.29 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $12.76 | — | — | 2026-07-15 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $13.06 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $14.61 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $14.92 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $14.92 | — | — | 2026-03-12 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $15.02 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $15.16 | — | — | 2024-10-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $15.53 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $15.63 | — | — | 2024-10-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $16.15 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $16.33 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $16.58 | — | — | 2026-03-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $16.62 | $212.43 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $16.62 | $212.43 | — | 2026-05-23 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $17.49 | — | — | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $17.61 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $17.61 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $17.61 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $17.62 | — | — | 2026-01-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $18.18 | — | — | 2026-07-15 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $18.65 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $18.65 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $18.65 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $18.66 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $18.66 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $18.66 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $18.66 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $18.66 | — | — | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $18.69 | — | — | 2026-01-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $19.05 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $19.25 | — | — | 2026-09-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $19.31 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Oscar | MGMCR | $19.45 | — | — | 2026-09-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $19.57 | $212.43 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $19.57 | $212.43 | — | 2026-05-13 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $19.58 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Palm Beach PACE | MCR | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | Wellpoint | MGMCD | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $19.68 | — | — | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | WellMed | MGMCR | $19.75 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | VACCN | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | VACCN | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Alignment Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Devoted Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Regency Hospice | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Amerigroup | DualEligible | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | TriWest Healthcare Alliance | Veterans | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | CHC Harris Health | Indigent | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Devoted Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Devoted Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | St Joseph Hospice | COMM | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Devoted Health | MGMCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | VACCN | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Humana | MedicareAdvantageHMO | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRSNP | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRPPO | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MMP | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | MCRHMO | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Cigna HealthSpring | PFFS | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Humana | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Alignment Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Alignment Health | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Veteran's Administration | FEDERAL | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | VACCN | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Humana | MedicareAdvantagePPOPFFS | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Aetna | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRPPO | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | MCR | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $19.84 | — | — | 2026-09-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $19.89 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $19.89 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PFFS | $20.04 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | PPO | $20.04 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $20.04 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | HealthSpring | MCRHMO | $20.04 | — | — | 2026-09-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $20.10 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | POS | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PPO | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | SNP | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | PFFS | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | WellCare | MCRHMO | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Coventry | MGMCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Aetna | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $20.24 | $51.37 | $30.82 | 2026-07-17 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Absolute Total Care | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Cigna HealthSpring | MGMCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Anthem | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Aetna | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | United | MGMCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | MCR | $20.24 | — | — | 2026-09-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $20.30 | — | — | 2026-09-11 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | TriWestGOV | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | MCD | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | TriWest VA PCCC | FEDERAL | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | TriWest | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Coventry Altius | MCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Healthcare Alliance | VeteransPCCC | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | GVT | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | MGMCR | $20.31 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $20.34 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $20.34 | — | — | 2024-10-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.