887 — Other Mental Disorder Diagnoses
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER MENTAL DISORDER DIAGNOSES (OTHER 887) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/887?code_type=OTHER
MLA (9th ed.)
“OTHER MENTAL DISORDER DIAGNOSES (OTHER 887) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/887?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OTHER MENTAL DISORDER DIAGNOSES (OTHER 887) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/887?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $269–$11,825 (25th–75th percentile) across 580 hospitals · 1,717 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 887 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $1.75 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $1.75 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $1.75 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $1.78 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $1.80 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $1.83 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $3.13 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $3.13 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $3.13 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $3.49 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $5.15 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $5.42 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $5.87 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $6.06 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $7.22 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $7.59 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $9.03 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $9.03 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $9.03 | $9.03 | $6.41 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $11.08 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $20.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $28.80 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $29.70 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $30.24 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $30.47 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $30.90 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $32.85 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $33.30 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $34.20 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $35.10 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $38.03 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $38.03 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $38.03 | — | — | 2026-03-01 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Connecticut General Life Insurance Company | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | PRIVATE HEALTHCARE | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $45.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Multiplan, Inc | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Aetna Health Management, LLC | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Harvard Pilgrim Health Care, Inc. | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Private Healthcare | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Aetna Health Management, LLC | Commercial Preferred | — | — | — | 2026-02-28 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $128.91 | — | — | 2026-05-06 | MRF ↗ |
| LITTLE COLORADO MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Az | Indemnity/Ppo/Hmo | $129.65 | — | — | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $153.19 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $157.90 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $176.76 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $182.54 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $182.54 | — | — | 2026-03-12 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group-Campuscare | Uic Physician Group-Campuscare | — | — | — | 2026-05-22 | MRF ↗ |
| Shirley Ryan Abilitylab Inpatient | Uic Physician Group-Campuscare | Uic Physician Group-Campuscare | — | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $188.54 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $188.54 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $188.54 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $188.54 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $188.54 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $202.82 | — | — | 2026-03-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $205.51 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $207.39 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $207.39 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $207.39 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $207.39 | — | — | 2024-10-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $208.33 | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $212.11 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $212.11 | — | — | 2024-10-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $215.47 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $215.47 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $215.50 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $216.37 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $216.82 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $216.82 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $216.82 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $216.82 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $216.82 | — | — | 2025-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $221.04 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $222.71 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $222.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $222.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $222.71 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $222.71 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $223.89 | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $223.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $223.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $223.89 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $223.89 | — | — | 2026-05-06 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $223.89 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $223.89 | — | — | 2025-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $226.25 | — | — | 2024-10-01 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Outpatient | Prominence | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Careplus | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Promise Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Prominence | Medicare | $228.97 | — | — | 2026-05-08 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Indian Health Benefits | Managed Care | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Prominence | Managed Care | $228.97 | — | — | 2026-05-08 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Humana | Medicare | $228.97 | — | — | 2026-05-08 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Citrus Health | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $228.97 | — | — | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $228.97 | — | — | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Primecare | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Global Health | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Humana | Medicare Advantage | $228.97 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Clover | Medicare Advantage | $228.97 | — | — | 2026-05-23 | MRF ↗ |
| TEXOMA MEDICAL CENTER Outpatient | Aetna | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $228.97 | — | — | 2026-05-07 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Scan | Medicare | $228.97 | — | — | 2026-05-13 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Medicare | Medicare | $228.97 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Clover | Medicare Advantage | $228.97 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $228.97 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $228.97 | — | — | 2026-05-14 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Humana | Medicare Advantage | $228.97 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Medicare | Medicare | $228.97 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | Aetna | Medicare | $228.97 | — | — | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPITAL OF LAREDO Outpatient | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $230.96 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $230.96 | — | — | 2026-05-06 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $230.96 | — | — | 2024-10-01 | 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.