812 — Carmustine Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Carmustine injection (OTHER 812) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/812?code_type=OTHER
MLA (9th ed.)
“Carmustine injection (OTHER 812) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/812?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Carmustine injection (OTHER 812) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/812?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $237–$6,800 (25th–75th percentile) across 602 hospitals · 1,170 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 812 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | 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 | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | 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 | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | 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 | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 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 | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 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 | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| HARDTNER MEDICAL CENTER Both | United Healthcare | Default | — | $612.00 | $122.40 | 2025-01-02 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 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 | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 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 ↗ |
| 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 ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $0.40 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $0.40 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $0.40 | $8.00 | $8.00 | 2025-07-29 | 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 | Triwest | Va | $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 | Humana Choicecare | Medicare Advantage | $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 | 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 ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.48 | $122.45 | $73.47 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.48 | $122.45 | $73.47 | 2025-08-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Aetna Healthcare | Commercial | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $0.50 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Community Care Health | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Sierra HPN | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina Healthcare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL 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 ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $0.78 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $0.78 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $0.78 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $0.78 | $2.00 | $1.40 | 2026-07-30 | 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 Choice Plus | 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 ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $0.80 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Surest | 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 ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $0.80 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $0.80 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $0.80 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $0.80 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $0.84 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $0.86 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Galaxy Health | Commercial | $0.95 | $1.00 | $0.60 | 2026-09-21 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicare B Ok Jh | Default | $0.96 | $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 ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare B MS JH | Default | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare B MS JH | Default | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $0.96 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Oklahoma Complete Health Mcd Rep | Medicaid Replacement | — | $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 | Uhc Medicare Solution | Medicare Advantage | — | $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 | Aetna Better Health Ok | Medicaid Replacement | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Medicaid Oklahoma | Default | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna Medicare Advantage | 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 ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Humana Mcd Rep | Medicaid Replacement | — | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $0.97 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $0.97 | $50.00 | $50.00 | 2026-09-21 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $0.97 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $0.98 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $0.98 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | — | — | — | $3.00 | $1.71 | 2025-02-13 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $1.10 | $28.36 | $10.21 | 2026-09-19 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $1.28 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $1.29 | $28.36 | $10.21 | 2026-09-19 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $1.51 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $1.57 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $1.69 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $1.74 | $2.00 | $1.40 | 2026-07-30 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare A IA J5 | Default | — | $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 | 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 | Aetna Medicare Advantage | Default | — | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| TRINITY HOSPITAL Both | Triwest | Default | $1.94 | $209.00 | $104.50 | 2026-07-15 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare B OK JH | Default | $1.95 | $809.00 | $647.20 | 2026-07-10 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Aetna Medicare Advantage | All Plans | $1.96 | $175.00 | $70.00 | 2026-09-21 | 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 ↗ |
| TRINITY HOSPITAL Both | Medicare B Ca Je Northern Ca | Default | $2.00 | $209.00 | $104.50 | 2026-07-15 | MRF ↗ |
| TRINITY HOSPITAL Both | Medicare B Ca Je Northern Ca | Default | $2.00 | $209.00 | $104.50 | 2026-07-15 | MRF ↗ |
| TRINITY HOSPITAL Both | Aetna | Default | $2.03 | $209.00 | $104.50 | 2026-07-15 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $2.43 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $2.43 | $8.00 | $8.00 | 2025-07-29 | MRF ↗ |
| Mercy Hospital, Inc Both | Uhc Medicaid | [Plan Name] | $3.00 | $1,200.00 | $1,020.00 | 2026-05-08 | MRF ↗ |
| Mercy Hospital, Inc Both | Aetna Better Health | [Plan Name] | $3.00 | $1,200.00 | $1,020.00 | 2026-05-08 | MRF ↗ |
| Mercy Hospital, Inc Both | Medicaid | [Plan Name] | $3.00 | $1,200.00 | $1,020.00 | 2026-05-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $3.47 | $28.36 | $10.21 | 2026-09-19 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - WellCare | All Plans | $3.71 | $28.36 | $10.21 | 2026-09-19 | MRF ↗ |
| HASKELL REGIONAL HOSPITAL, INC Both | Aetna | Default | $3.75 | $5.00 | $5.00 | 2026-07-15 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | VA Community Care Network | VACCN Regions 1-3 | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | TRICARE | TRICARE | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | CareSource | Marketplace | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | CareSource | Medicare Advantage | — | $84.97 | $13.89 | 2025-01-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $4.49 | $28.36 | $10.21 | 2026-09-19 | MRF ↗ |
| SAN JUAN HOSPITAL Outpatient | Tricare West | West | — | $8.22 | $5.75 | 2026-05-08 | MRF ↗ |
| SAN JUAN HOSPITAL Outpatient | Tricare For Life | Life | — | $8.22 | $5.75 | 2026-05-08 | MRF ↗ |
| SAN JUAN HOSPITAL Outpatient | Tricare East | East | — | $8.22 | $5.75 | 2026-05-08 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | $4.96 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $5.06 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Iowa Total Care MCD Adv (active 7/1/19) | Default | $5.61 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Molina Healthcare of Iowa MCD Rep | Default | $5.61 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | AmeriGroup Wellpoint | Default | $5.61 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicaid Iowa | Default | $5.61 | $11.00 | $7.00 | 2026-05-29 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | AETNA [4008] | MERITAIN HEALTH PPO [5989] | — | $26.00 | $26.00 | 2025-10-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE MANAGED CARE PLAN GENERIC MEDICARE ADV [6115] | MERIDIAN COMPLETE MEDICARE ADV OUT OF NE [6793] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | AMBETTER [6018] | AMBETTER [6329] | — | $26.00 | $26.00 | 2025-10-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTH ALLIANCE [4139] | HEALTH ALLIANCE MEDICARE ADV [6258] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE ALT PAYOR [10049] | MEDICARE ALT PLAN [10045] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA CARELINK [6964] | — | $26.00 | $26.00 | 2025-10-28 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC GOLDEN RULE CHOICE/CHOICE PLUS [5117] | — | $26.00 | $26.00 | 2025-10-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE ADVANTAGE GENERIC [4119] | MEDICARE ADV [4355] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | MERIDIAN HEALTH PLAN OF IL [4857] | MEDICAID MERIDIAN HEALTH PLAN [6720] | — | $26.00 | $26.00 | 2025-10-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA BEHAVIORAL HEALTH [4465] | BHM CIGNA BEHAVIORAL HEALTH [5407] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE RAILROAD [5071] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA GENERIC [5263] | — | $25.00 | $20.00 | 2025-09-18 | MRF ↗ |
| CLAY COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | CIGNA [5572] | — | $26.00 | $26.00 | 2025-10-28 | 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.