749 — Inj Travoprost Intra Impl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj travoprost intra impl (OTHER 749) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/749?code_type=OTHER
MLA (9th ed.)
“Inj travoprost intra impl (OTHER 749) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/749?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj travoprost intra impl (OTHER 749) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/749?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $199–$19,013 (25th–75th percentile) across 413 hospitals · 734 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 749 — 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|Humana|All Products | — | $4.89 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $4.89 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $4.89 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $4.89 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $5.02 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $5.02 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $5.02 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $5.02 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $5.02 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $5.27 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $5.39 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $8.03 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $9.49 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $9.84 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $10.60 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $10.91 | $12.54 | $8.78 | 2026-07-30 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $29.43 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $29.43 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $29.43 | — | — | 2026-03-01 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | — | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | — | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $76.61 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $76.61 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $78.37 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $80.77 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $81.65 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $84.06 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $106.41 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $111.64 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $115.80 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $128.15 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $131.34 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $131.34 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $132.10 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $138.01 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $141.28 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $141.28 | — | — | 2026-03-12 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $141.63 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $147.87 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $154.32 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $156.98 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $157.73 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $157.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $157.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $157.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $157.73 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $160.23 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $160.49 | — | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $161.99 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $161.99 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $162.42 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $165.61 | — | — | 2026-07-15 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $166.77 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $166.77 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $166.79 | — | — | 2026-03-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $170.28 | — | — | 2026-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $171.92 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $171.92 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $171.92 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $171.92 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $171.92 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $173.50 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $173.50 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $173.50 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $175.12 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $175.12 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $175.12 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $175.12 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $176.60 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $176.60 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $176.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $177.44 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $177.44 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $181.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $181.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $181.39 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $181.39 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $181.39 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $184.81 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health Dual | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Medicare | Medicare | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellmed | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Aetna | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare Amwell | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Molina | Qhp | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare | Medicare Advantage | $184.82 | — | — | 2026-07-15 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $184.96 | — | — | 2026-09-11 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $185.43 | — | — | 2026-03-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $185.93 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $186.06 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $186.06 | $218.90 | $142.28 | 2026-05-28 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $186.32 | — | — | 2026-05-13 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $186.32 | — | — | 2025-01-01 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $186.32 | — | — | 2026-05-08 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $186.32 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $186.32 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $186.32 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $186.32 | — | — | 2025-01-01 | MRF ↗ |
| SPRING VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $186.32 | — | — | 2026-07-17 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $186.32 | — | — | 2026-05-24 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | Wellpoint | MGMCD | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Palm Beach PACE | MCR | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $186.42 | — | — | 2026-03-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Triwest | Medicare Advantage | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | United | Medicare Advantage | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Medicare | Medicare | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $186.50 | — | — | 2026-07-17 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $187.30 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $187.30 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $187.30 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $187.30 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $187.30 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $187.30 | — | — | 2025-01-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Wellpath | Medicaid | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Hap | Medicare | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Medicare | Medicare | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Bcbs | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Priority Health | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Humana | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Aetna | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Amerigroup | Medicare Advantage | $187.69 | — | — | 2026-05-06 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $188.38 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $188.38 | — | — | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $188.88 | — | — | 2026-09-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $189.27 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $189.27 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $189.27 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $189.27 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $189.27 | — | — | 2024-10-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $190.34 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $190.64 | — | — | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $190.84 | — | — | 2026-09-01 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Keystone First | Medicare/Snp | $192.00 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | United Healthcare | Medicare | $192.08 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Capital Blue Cross | Medicare | $192.08 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | Independence Blue Cross | Medicare | $192.08 | — | — | 2026-07-17 | MRF ↗ |
| POTTSTOWN HOSPITAL Outpatient | United Healthcare | Va Community Care | $192.08 | — | — | 2026-07-17 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Healthcare Alliance | VeteransPCCC | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | TriWest VA PCCC | FEDERAL | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | GVT | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | TriWest | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | MGMCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | TriWestGOV | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Coventry Altius | MCR | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | MCD | $192.30 | — | — | 2026-03-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Oscar | MGMCR | $192.81 | — | — | 2026-09-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Health America | Medicare | $192.85 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Upmc | Medicare | $192.89 | — | — | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Oscar | MGMCR | $192.94 | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $193.22 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $193.22 | — | — | 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.