773 — Inj, Beqvez, Per Tx Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, beqvez, per tx dose (OTHER 773) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/773?code_type=OTHER
MLA (9th ed.)
“Inj, beqvez, per tx dose (OTHER 773) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/773?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj, beqvez, per tx dose (OTHER 773) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/773?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,605,000–$3,821,300 (25th–75th percentile) across 264 hospitals · 225 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 773 — 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 |
|---|---|---|---|---|---|---|---|
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $25.00 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $61.43 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $61.43 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $61.43 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $61.43 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $63.00 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $63.00 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $63.00 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $63.00 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $63.00 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $66.15 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $67.73 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $100.80 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $119.23 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $123.64 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $133.09 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $137.03 | $157.50 | $110.25 | 2026-07-30 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Amerigroup | Amerigroup-Cmo | $1,359.51 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-13 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Peachstate | Peachstate | $1,400.30 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC InpatientFacility | — | — | — | — | — | 2024-12-23 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Amerigroup | Amerigroup-Cmo | $1,417.55 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Wellcare | Wellcare Cmo | $1,417.55 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Peachstate | Peachstate | $1,460.07 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | $1,495.47 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Caresource | Caresource | $1,559.30 | — | — | 2026-05-06 | MRF ↗ |
| NEBRASKA SPINE HOSPITAL, LLC Inpatient | Healthnet Tricare Administrator | Healthnet Tricare Administrator | $1,926.13 | — | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid | Caid | $1,945.98 | $13,448.50 | $5,379.40 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Mi | Caid | $1,945.98 | $13,448.50 | $5,379.40 | 2026-05-08 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Department Of Health | Department Of Health | $2,048.99 | — | — | 2026-05-06 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Coventry | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Blue Cross Blue Shield Of Ne | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Assurant Health | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Cigna | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | United Healthcare | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Midlands Choice | Other | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Molina | Managed Medicaid | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Ambetter | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Midlands Choice | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Humana Midlands | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Health Partners Midlands | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Mhnet | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Medica | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Inpatient | Alliance Network (First Choice) | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | Medicaid | $2,810.46 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | PeachCare for Kids | $2,810.46 | — | — | 2026-01-25 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Mi | Caid | $3,370.51 | $31,653.25 | $12,661.30 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid | Caid | $3,370.51 | $31,653.25 | $12,661.30 | 2026-05-08 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $3,952.76 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $3,952.76 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,980.79 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $4,036.33 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $4,036.33 | — | — | 2026-05-23 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Inpatient | Triwest Healthcare Alliance | Tricare West Region | $4,051.39 | — | — | 2026-09-28 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,193.81 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Tricare | Node Tricare | $4,222.60 | — | — | 2026-07-15 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,232.35 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,236.03 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,241.19 | — | — | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,259.28 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,293.64 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,293.64 | — | — | 2026-07-15 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $4,321.20 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $4,321.20 | — | — | 2026-05-24 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,349.75 | — | — | 2026-07-17 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,384.38 | — | — | 2026-07-17 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Tricare | Node Tricare | $4,405.58 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $4,458.56 | — | — | 2026-07-15 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $4,459.01 | — | — | 2026-07-15 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Inpatient | Tricare | Tricare | $4,472.49 | — | — | 2026-07-20 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,530.65 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $4,580.63 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Tricare | Node Tricare | $4,637.45 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Node Tricare | Node Tricare | $4,637.45 | — | — | 2026-07-15 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $4,649.02 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $4,649.02 | — | — | 2026-05-23 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $4,668.15 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $4,668.15 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,695.16 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,707.97 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $4,758.62 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $4,758.62 | — | — | 2026-05-23 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Node Tricare | Node Tricare | $4,788.26 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,863.76 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $4,879.98 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $4,879.98 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $4,879.98 | — | — | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $4,889.99 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $4,889.99 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $4,889.99 | — | — | 2026-09-28 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,900.74 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $4,901.81 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,901.81 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $4,913.84 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $4,913.84 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $4,928.32 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $4,928.76 | — | — | 2026-07-15 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Champva | Node Champva | $4,944.28 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $4,948.54 | — | — | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,949.95 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $4,955.76 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $4,962.92 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,965.00 | — | — | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Champva | Node Champva | $4,994.05 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,999.60 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,000.14 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $5,002.95 | — | — | 2026-07-17 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Champva | Node Champva | $5,021.47 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Node Tricare | Node Tricare | $5,036.71 | — | — | 2026-07-15 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $5,055.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $5,059.82 | — | — | 2026-05-27 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $5,089.08 | — | — | 2026-09-21 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,092.99 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Champva | Node Champva | $5,128.12 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Department Of Veterans Affairs | Node Champva | $5,161.90 | — | — | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Champva | Node Champva | $5,161.90 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Champva | Node Champva | $5,161.90 | — | — | 2026-07-17 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $5,168.96 | — | — | 2026-07-17 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,315.77 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $5,315.77 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,315.77 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $5,315.77 | — | — | 2026-07-17 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,321.65 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $5,329.06 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,336.33 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Champva | Node Champva | $5,341.39 | — | — | 2026-07-15 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,359.16 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $5,490.02 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,498.27 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,520.21 | — | — | 2026-07-15 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Inpatient | Tricare | Commercial | $5,536.74 | — | — | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Inpatient | Tricare | Commercial | $5,536.74 | — | — | 2026-05-24 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,543.94 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,550.45 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Department Of Veterans Affairs | Node Champva | $5,555.53 | — | — | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $5,710.42 | — | — | 2026-07-15 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | Tricare | Tricare | $5,740.60 | — | — | 2024-12-19 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Medicaid | Caid | $5,741.12 | $32,919.27 | $8,229.82 | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $5,753.24 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $5,753.24 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $5,753.24 | — | — | 2026-05-08 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | TRICARE [160005] | HB BWH TRICARE | $5,771.22 | $44,217.60 | — | 2026-03-27 | MRF ↗ |
| SALEM HOSPITAL Inpatient | CHAMPVA [160001] | HB SLM TRICARE | $5,771.22 | $26,166.97 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | TRICARE [160005] | HB MGH TRICARE | $5,771.22 | $38,526.19 | — | 2026-03-27 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,777.71 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Medicaid | Caid | $5,791.54 | $33,208.38 | $8,302.09 | 2026-05-09 | MRF ↗ |
| POTTSTOWN HOSPITAL Inpatient | Humana Military | Tricare | $5,800.63 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $5,834.06 | — | — | 2026-05-09 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Inpatient | Humana | HUMANA MILITARY TRICARE | $5,839.83 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Humana | Humana Tricare | $5,839.83 | — | — | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Inpatient | Humana | Humana Tricare | $5,839.83 | — | — | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Inpatient | Highmark | Highmark Tricare | $5,839.83 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Humana Military Tricare | Humana Military Tricare | $5,839.83 | — | — | 2024-12-19 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $5,851.02 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Inpatient | Tricare | Tricare | $5,874.90 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Tricare | Tricare | $5,888.47 | — | — | 2024-12-19 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $5,894.27 | — | — | 2026-07-15 | MRF ↗ |
| KNAPP MEDICAL CENTER Inpatient | Tricare | Tricare | $5,894.68 | — | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Inpatient | Tricare | Tricare East | $5,895.39 | — | — | 2024-12-19 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $5,898.22 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Hmo | $5,903.89 | $13,448.50 | $5,379.40 | 2026-05-08 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Champva | Node Champva | $5,921.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Cigna | Ppo | $5,944.24 | $13,448.50 | $5,379.40 | 2026-05-08 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $5,949.39 | — | — | 2026-07-17 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,953.66 | — | — | 2026-07-15 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Tricare | Tricare | $5,954.30 | — | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Tricare | Tricare | $5,954.30 | — | — | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Inpatient | Tricare | Tricare | $5,954.84 | — | — | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Inpatient | Tricare | Tricare | $5,954.84 | — | — | 2024-12-19 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $5,965.26 | — | — | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $5,968.54 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $5,968.54 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Department Of Veterans Affairs | Node Champva | $5,973.32 | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOHN HOSPITAL Inpatient | Tricare | Tricare | $5,995.00 | — | — | 2024-12-19 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $6,002.77 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $6,004.36 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $6,048.10 | — | — | 2026-07-15 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Tricare | Tricare | $6,055.91 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Tricare | Tricare | $6,055.91 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Tricare | Tricare | $6,070.13 | — | — | 2024-12-19 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $6,127.00 | — | — | 2026-07-18 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Inpatient | Tricare | Tricare | $6,131.81 | — | — | 2024-12-19 | 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.