9002 — Tenecteplase Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tenecteplase injection (OTHER 9002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9002?code_type=OTHER
MLA (9th ed.)
“Tenecteplase injection (OTHER 9002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9002?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tenecteplase injection (OTHER 9002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9002?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $170–$224 (25th–75th percentile) across 292 hospitals · 434 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9002 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Humana Medicare Advantage | — | $0.33 | $1,343.75 | $134.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $2.25 | $1,343.75 | $134.38 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $6.50 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $6.50 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $6.50 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $6.50 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| LOGAN REGIONAL MEDICAL CENTER OutpatientFacility | Other | The Health Plan | $20.00 | — | — | 2025-01-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $28.05 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $28.05 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $28.05 | — | — | 2026-03-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL MEDICAL CENTER OutpatientFacility | Unicare Medicaid | Unicare Medicaid | $50.00 | — | — | 2025-01-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $50.02 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $50.02 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $50.02 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $50.02 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Mclaren Medicaid Op | — | $51.33 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicaid Op | — | $51.33 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Meridian Medicaid Op | — | $51.33 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicaid Op | — | $51.33 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Blue Cross Complete Medicaid Op | — | $51.33 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Mclaren Health Plan Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Complete Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Health Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Molina Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Meridian Health Plan Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Meridian Health Plan Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Mclaren Health Plan Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Meridian Health Plan Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Mclaren Health Plan Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Complete Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Molina Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Molina Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Complete Medicaid Op | — | $69.41 | $35,832.94 | $8,958.24 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicaid Op | — | $69.41 | $37,868.91 | $9,467.23 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $86.27 | — | — | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $86.90 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $86.90 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Plus Blue Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Php Medicare Advantage Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicare Advantage Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Medicare Advanatge Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Hap Medicare Advantage Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Humana Medicare Advantage Op | — | $87.75 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $89.40 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $89.40 | $37,868.91 | $9,467.23 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $90.07 | — | — | 2026-07-18 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $91.47 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $96.96 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $96.96 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $96.96 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $96.96 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $102.52 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $105.68 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $110.41 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $118.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $126.18 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $126.18 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $126.18 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $126.18 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $126.18 | — | — | 2024-10-01 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $134.40 | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $134.40 | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $134.40 | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $1,968.75 | $1,653.75 | 2026-05-09 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $134.62 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $134.62 | — | — | 2026-03-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $137.21 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $137.21 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $137.54 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $137.54 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $137.54 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $137.54 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $137.54 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $138.80 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $138.80 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $138.80 | — | — | 2024-10-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $141.22 | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $141.95 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $141.95 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $145.11 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $145.11 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $145.11 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $145.11 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $145.11 | — | — | 2025-01-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $145.73 | — | — | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $146.35 | $27,637.29 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $146.35 | $27,637.29 | — | 2026-05-23 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $149.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $149.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $149.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $149.05 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $149.05 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $149.58 | — | — | 2026-03-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $149.83 | — | — | 2026-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $149.84 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $149.84 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $149.84 | — | — | 2026-07-15 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $149.84 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $149.84 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $149.84 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $149.84 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $151.42 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $151.42 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $151.42 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $151.42 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $151.42 | — | — | 2024-10-01 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Indian Health Benefits | Managed Care | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Global Health | Medicare | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $153.11 | — | — | 2026-07-15 | MRF ↗ |
| SPRING VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $153.50 | — | — | 2026-07-17 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $153.50 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $153.50 | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $153.50 | — | — | 2026-05-24 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $154.26 | — | — | 2026-07-15 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $154.57 | — | — | 2026-07-15 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $154.57 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $154.57 | — | — | 2025-01-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $155.75 | — | — | 2026-07-15 | 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.