7901003 — Mr Lw Ext W J R
Cite this view
HANK Price Transparency. (n.d.). MR LW EXT W J R (CDM 7901003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7901003?code_type=CDM
“MR LW EXT W J R (CDM 7901003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7901003?code_type=CDM. Accessed .
“MR LW EXT W J R (CDM 7901003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7901003?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $471–$2,001 (25th–75th percentile) across 5 hospitals · 79 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 7901003 — 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 |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Prime Healthcare Welfare Benefits Plan and the Prime Foundation Welfare Benefits Plan | PPO | $43.50 | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEART SAVER | 614_HEART SAVER (HAY,EBD) 20140101 | $49.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEART SAVER VETERANS | 4194_HEART SAVER VETERANS (HAYS,CHI,DCN,WIL) 20250301 | $75.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HEART SAVER VETERANS | 4194_HEART SAVER VETERANS (HAYS,CHI,DCN,WIL) 20250301 | $75.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Healthsmart fka Interplan | PPO | $121.80 | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | MultiPlan, Inc. | PPO | $130.50 | $174.00 | $142.68 | 2025-11-26 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4211_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR | 4256_CHIRP UHC STAR (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3740_CHIRP UHC STAR (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3597_BLUE CROSS CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4325_UHC STAR KIDS (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3751_CHIRP UHC STAR PLUS (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4211_CHIRP AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR PLUS | 4267_CHIRP UHC STAR PLUS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL STAR | 4233_CHIRP DELL STAR (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR KIDS | 4976_WELLPOINT/AMERIGROUP STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4171_BLUE CROSS CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR | 4200_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3674_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR | 4200_CHIRP AMERIGROUP STAR (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4171_BLUE CROSS CHIP (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3707_CHIRP DELL STAR (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR KIDS | 5009_BLUE CROSS STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3696_CHIRP BLUE CROSS STAR (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR | 4222_CHIRP BLUE CROSS STAR (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3608_DELL CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4160_WELLPOINT/AMERIGROUP CHIP (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL CHIP/CHIP PERINATE | 4182_DELL CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4160_AMERIGROUP CHIP/STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3685_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) INPATIENT 20240901 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR KIDS | 4314_UHC STAR KIDS (HAY) OUTPATIENT 20241201 | $141.27 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 504_COUNTY INDIGENT (HAY) 20140701 | $211.91 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4138_TRAVIS COUNTY INDIGENT (HAY) 20240901 | $211.91 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | 616_WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 | $259.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | 618_WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 | $282.54 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR AMBETTER | 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR AMBETTER | 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $329.63 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $447.36 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $447.36 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $470.90 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $470.90 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $470.90 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WINGS | 902_WINGS | $517.99 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $541.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $541.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $583.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $583.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $635.72 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $655.20 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $655.20 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $667.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $667.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $706.35 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $753.44 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $753.44 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $800.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $800.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $824.08 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR | 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR | 3512_CHIRP SUPERIOR STAR (HAY) INPATIENT 20240901 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR | 4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR FOSTER | 4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR KIDS | 4888_SUPERIOR STAR KIDS OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR PLUS | 4378_CHIRP SUPERIOR STAR PLUS (HAY) INPATIENT 20240901 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR PLUS | 4395_CHIRP SUPERIOR STAR PLUS (HAY) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR STAR PLUS | 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR PLUS | 4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR | 4244_CHIRP SUPERIOR STAR (HAY) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR FOSTER | 4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR STAR KIDS | 4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $941.80 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $1,059.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | $1,059.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SUPERIOR CHIP/CHIP PERINATE | 4190_SUPERIOR CHIP OUTPATIENT 20241201 | $1,059.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | $1,059.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SUPERIOR CHIP/CHIP PERINATE | 3619_SUPERIOR CHIP INPATIENT 20240901 | $1,059.53 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $1,106.62 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $1,130.16 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | $1,130.16 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $1,222.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101 | $1,222.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $1,222.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | SETON PERFORMANCE PLUS | 788_SETON PERFORMANCE EPO PPO (WIL,DEL,BRK,BAS) 20180101 | $1,222.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,247.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY PPO | 4505_UNITED HEALTHCARE NEXUS CITY PPO (DEL) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY HMO | 4502_UNITED HEALTHCARE NEXUS CITY HMO (DEL) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC STANDARD NEXUS ACO | 4508_UNITED HEALTHCARE STANDARD NEXUS ACO (DEL) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $1,279.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $1,318.52 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,318.52 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,318.52 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $1,365.61 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $1,389.15 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $1,389.15 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $1,412.70 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $1,412.70 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,436.24 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $1,481.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $1,481.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $1,483.34 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $1,506.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $1,560.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $1,560.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $1,560.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC | 4499_UNITED HEALTHCARE (DEL) 20250701 | $1,560.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $1,560.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $1,577.52 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $1,577.52 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | EMPHESYS | 605_EMPHESYS | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $1,601.06 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $1,624.61 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $1,624.61 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $1,648.15 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $1,648.15 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 688_SETON PERFORMANCE EPO PPO (EBD,HL) HMO 20160101 | $1,648.15 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 732_SETON PERFORMANCE EPO PPO (CHI,DCN) HMO 20160901 | $1,695.24 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4462_AETNA MULTI-TIER WHOLE HEALTH SHA (EBD,SHL) 20250701 | $1,742.33 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PPO | 259_FIRST CARE PPO (EBD,SHL) 20140101 | $1,765.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE HMO | 258_FIRST CARE HMO (EBD,SHL) 20140101 | $1,765.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE HMO | 202_FIRST CARE HMO 20050801 | $1,765.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WHOLE FOODS | 819_WHOLE FOODS (CAH) 20180301 | $1,765.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PPO | 203_FIRST CARE PPO 20050801 | $1,765.88 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 3303_UNITED HEALTHCARE (CHI,DCN) 20240101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS PPO | 4091_BLUE CROSS BLUE SHIELD PPO (CHI,DCN) 20250101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4477_CIGNA HMO (CHI,DCN) 20250101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 3317_UNITED HEALTHCARE NEXUS CITY PPO (CHI,DCN) 20240101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA PPO | 4478_CIGNA PPO (CHI,DCN) 20250101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 3315_UNITED HEALTHCARE NEXUS CITY HMO (CHI,DCN) 20240101 | $1,812.96 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST HEALTH/COVENTRY | 260_FIRSTHEALTH/COVENTRY PPO 20140101 | $1,836.51 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $1,836.51 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTHSMART ACCEL | 263_HEALTH SMART ACCEL (EBD,SHL) 20140101 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PHCS | 268_PHCS PPO (EBD,SHL) 20140101 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PHCS | 150_PHCS 20111201 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | GREAT WEST | 598_GREAT WEST | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AVERDE HEALTH | 252_AVERDE HEALTH (EBD,SHL) 20140101 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | MULTIPLAN | 267_MULTIPLAN PPO (EBD,SHL) 20140101 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TX TRUE CHOICE | 271_TEXAS TRUE CHOICE PPO (EBD,SHL) 20140101 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 2669_HUMANA HMO (SMV) 20230701 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | 2105_EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | $1,883.60 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | AETNA CHOICE | 236_AETNA ELECT CHOICE 20140601 | $1,899.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | AETNA POS 20140601 | 235_AETNA POS 20140601 | $1,899.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA CHOICE | 236_AETNA ELECT CHOICE 20140601 | $1,899.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA POS 20140601 | 235_AETNA POS 20140601 | $1,899.00 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 3448_UNITED HEALTHCARE NEXUS CITY HMO (EBD,SHL) 20240701 | $1,907.14 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 3449_UNITED HEALTHCARE NEXUS CITY PPO (EBD,SHL) 20240701 | $1,907.14 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 3450_UNITED HEALTHCARE STANDARD NEXUS ACO (EBD,SHL) 20240701 | $1,907.14 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 3447_UNITED HEALTHCARE (EBD,SHL) 20240701 | $1,907.14 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO | 4459_AETNA HMO (EBD,SHL) 20250701 | $1,930.69 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENANT HEALTH | 4474_COVENANT MANAGEMENT SOLUTIONS-AETNA (EBD,SHL) 20250701 | $1,930.69 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO | 4460_AETNA PPO (EBD,SHL) 20250701 | $1,930.69 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 3191_HUMANA HMO (CHI,DCN) 20240101 | $1,954.23 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 340_CIGNA HMO (EBD, SHL) 20140701 | $2,001.33 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRICARE | 3129_TRICARE (CHI,DCN) OUTPATIENT 20231101 | $2,001.33 | $2,354.50 | $847.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | VISTA HEALTH | 593_VISTA 360 HEALTHPLAN | $2,001.33 | $2,354.50 | $847.62 | 2026-01-01 | 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.