750 — Inj, Nithiodote, 3mg / 12
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, nithiodote, 3mg / 12 (OTHER 750) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/750?code_type=OTHER
MLA (9th ed.)
“Inj, nithiodote, 3mg / 12 (OTHER 750) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/750?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj, nithiodote, 3mg / 12 (OTHER 750) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/750?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $551–$3,640 (25th–75th percentile) across 578 hospitals · 1,173 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 750 — 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 |
|---|---|---|---|---|---|---|---|
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Quality Care Partners/Ohio Ppo Connect | Quality Care Partners/Ohio Ppo Connect | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Medical Mutual | Medical Mutual Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Quality Care Partners/Ohio Ppo Connect | Quality Care Partners/Ohio Ppo Connect | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Medical Mutual | Medical Mutual Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Aetna | Aetna - Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $0.32 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $0.32 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $0.32 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $0.40 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $0.42 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $0.43 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $0.43 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $0.45 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $0.46 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $0.46 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.48 | — | — | 2026-08-19 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Aetna Healthcare | Commercial | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $0.67 | $137.81 | $103.36 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Blue Cross of Idaho | Medicaid Plus | $0.67 | $137.81 | $103.36 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Molina | Medicaid | $0.67 | $137.81 | $103.36 | 2026-08-18 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $0.70 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Charter | Commercial | $0.79 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Surest | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc All Savers | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Claritev | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Choice Plus | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Cigna Healthcare Of Texas Inc | Commercial | $0.80 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | First Health | First Health | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Government Employees Health Association | Govt Employees Health Asso | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Pacificare | Pacificare Ppo | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Healthnet | Healthnet | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Phcs | Phcs | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Meritus | Meritus Ppo | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Health Choice | Health Choice | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Uhc | Uhc | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Healthplan Of Nv | Healthplan Of Nv | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Beechstreet | Beechstreet | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| HAVASU REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Az | Bcbs Of Az | — | $2.79 | $1.67 | 2026-05-08 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Galaxy Health | Commercial | $0.95 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicare B Ok Jh | Default | $0.96 | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicare A Ok Jh | Default | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Uhc Medicare Solution | Medicare Advantage | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | United Healthcare | Default | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.96 | $50.00 | $50.00 | 2026-05-13 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna Medicare Advantage | Medicare Advantage | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.96 | $50.00 | $50.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.97 | $50.00 | $50.00 | 2026-09-21 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $1.19 | — | — | 2026-07-15 | MRF ↗ |
| GUADALUPE REGIONAL MEDICAL CENTER Both | SUPERIOR HLTH PLAN MMCD | SUPERIOR HLTH PLAN MMCD | $1.35 | $3.00 | $1.50 | 2026-01-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $1.41 | — | — | 2024-10-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | — | — | — | $4.00 | $2.28 | 2025-02-13 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.45 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.52 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.56 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.56 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $1.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $1.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $1.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $1.73 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $1.73 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $1.73 | — | — | 2024-10-01 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Healthy Family | $1.75 | — | — | 2026-05-27 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $1.83 | — | — | 2026-01-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.84 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $1.84 | — | — | 2026-03-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.89 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.89 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $1.89 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.89 | — | — | 2024-10-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $1.89 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $1.89 | — | — | 2024-10-01 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of IA Wellmark | Default | — | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of IA Wellmark | HMO | — | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare B IA J5 | Default | $1.90 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Default | — | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare A IA J5 | Default | — | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.91 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.91 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.91 | — | — | 2024-10-01 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Mcl Managed Care | $1.91 | — | — | 2026-05-27 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $1.94 | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $1.95 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $1.95 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $1.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $1.95 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $1.95 | — | — | 2024-10-01 | MRF ↗ |
| CALDWELL MEDICAL CENTER Both | Medicare B Ky J15 | Default | $1.96 | $85.80 | $64.35 | 2026-07-15 | MRF ↗ |
| CALDWELL MEDICAL CENTER Both | Medicare B Ky J15 | Default | $1.96 | $85.80 | $64.35 | 2026-07-15 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Aetna Medicare Advantage | All Plans | $1.96 | $175.00 | $70.00 | 2026-09-21 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $1.99 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $1.99 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $1.99 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $1.99 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $1.99 | — | — | 2025-01-01 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Wellcare | Medicare | $2.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicare | $2.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Cigna | Medicare | $2.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicare | $2.00 | — | — | 2026-07-15 | 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.