800016 — Aztreonam 20mg/ml IV
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AZTREONAM 20MG/ML IV (CDM 800016) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/800016?code_type=CDM
MLA (9th ed.)
“AZTREONAM 20MG/ML IV (CDM 800016) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/800016?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“AZTREONAM 20MG/ML IV (CDM 800016) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/800016?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$86 (25th–75th percentile) across 5 hospitals · 65 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 800016 — 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 |
|---|---|---|---|---|---|---|---|
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $1.00 | $1.00 | $1.00 | 2025-10-24 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $4.19 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $4.19 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $4.19 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $4.19 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $4.19 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $9.08 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $9.08 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $9.08 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $9.08 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $9.77 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $9.77 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | MyBlueHealth | $11.38 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | HMO | $12.22 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | EPO | $12.22 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | BAV | $12.57 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | HIX | $13.61 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | CSN | $13.75 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | ValueHMO | $13.82 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | OpenAccessPlus | $14.66 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | HMO | $15.71 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | EPOSOA | $16.06 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | PPO | $16.34 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STAR | $16.54 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STARKIDS | $16.54 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | OptionsPPO | $16.96 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | QHPExchange | $17.17 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | PPO | $17.66 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Healthcare Highways | NarrowNetwork | $17.80 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | PPO | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | HMO | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | VA PCCC | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Medicare Advantage | $18.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | CHIP | $18.22 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Molina Healthcare | HIX | $18.85 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Evry Health | BroadNetwork | $19.06 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | PPO | $22.28 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | HMO | $22.28 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $22.35 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $22.35 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $22.35 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $22.35 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $22.35 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $24.43 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | Traditional | $24.43 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Imagine Health | PPO | $24.43 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | COMM | $26.88 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Curative Administrators | COMM | $27.92 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Christus (USFHP) | TRICARE | $27.92 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara Family Health Plan | Medicaid | $28.31 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Bright Health | COMM | $29.95 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCEL | $30.02 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | ASA | $31.21 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fidelis SecureCare of TX | MGMCR | $31.41 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | GlobalAppendix | $31.41 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Averde Health | Commercial | $31.41 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | OON | $31.55 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | AWH | $32.03 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | PPO | $32.78 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | HMO | $32.78 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | LocalPlus | $34.37 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | SAVILITYNETWORK | $34.91 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | COMM | $35.16 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coventry National First Health | COMM | $37.21 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage | $38.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians Cooperative of Texas | WC | $38.40 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Rockport Workers Comp | COMM | $38.40 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | PPO | $38.62 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | POS | $38.62 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | HMO | $38.62 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United | OptionsPPO | $41.72 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | National Healthcare Solutions | COMM | $41.89 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | WCOMP | $41.89 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | SouthWest Medical | WORKERSCOMP | $41.89 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Independent Medical System | COMM | $41.89 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Canopy | COMM | $44.70 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $45.34 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $45.34 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coastal Comp | COMM | $45.38 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Affiliated PPO | COMM | $52.36 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fiesta Mart, Inc | COMM | $52.36 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $55.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | COMMPPO | $55.85 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | HMO | $57.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | PPO | $57.24 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians, INC | COMM | $59.34 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $59.34 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | COMPLEMENTARYPPO | $62.83 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | PPO | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | CoreCare | Commercial | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Texas True Choice | Commercial | $71.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | $74.50 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | $74.50 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Unicare | Commercial | $76.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Palo Alto Medical | COMM | $81.95 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | USA Health Network | PPO | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | MultiPlan | PPO | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | USC Health Services | Commercial | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Galaxy Health Network | Commercial | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | NX Health Network | COMM | $89.40 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Sutter Select | COMM | $89.40 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $94.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MultiPlan | Primary | $96.85 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Networks by Design | COMM | $101.32 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Humana Choicecare | COMM | $104.30 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | COMM | $113.24 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Intercontinental Corporation | COMM | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | PPO | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | COMM | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna BH | COMMBH | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PHA Pacific Health Alliance | COMM | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | WCOMP | $119.20 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | COMM | $126.65 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | WCOMP | $149.00 | $149.00 | $149.00 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $69.81 | $69.81 | 2026-03-01 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Molina | Commercial | $2,368.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $2,368.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Medica | Commercial | $2,616.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | UHC Community Plan | Managed Medicaid | $2,924.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $3,078.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | BCBS | Medicare Advantage | $3,078.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Total Care | Managed Medicaid | $3,109.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $3,139.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Midlands Choice | Commercial | $3,551.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | MultiPlan | PPO | $4,640.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | MultiPlan | PHCS - PPO | $4,640.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | BCBS | Commercial | $4,735.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Aetna | HMO | $6,709.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Aetna | PPO | $6,709.00 | $4,735.00 | $4,262.00 | 2025-09-22 | MRF ↗ |