90743 — Hepb Vacc 2 Dose Adolesc IM
Cite this view
HANK Price Transparency. (n.d.). HEPB VACC 2 DOSE ADOLESC IM (CPT 90743) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90743?code_type=CPT
“HEPB VACC 2 DOSE ADOLESC IM (CPT 90743) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90743?code_type=CPT. Accessed .
“HEPB VACC 2 DOSE ADOLESC IM (CPT 90743) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90743?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $67–$127 (25th–75th percentile) across 1,743 hospitals · 3,244 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90743 — 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 FATIMA HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $33.00 | $28.05 | 2025-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity/Duals | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | INTEGRITY/Duals | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Cigna | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.03 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Harvard Pilgrim | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Harvard Pilgrim | Commercial | $0.04 | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $0.10 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $0.10 | — | — | 2026-09-21 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $215.00 | $152.65 | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Uhc | Commercial | $0.19 | — | — | 2026-07-19 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | 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 ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.32 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.33 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.34 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.34 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.34 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.37 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.37 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.37 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.37 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.39 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.39 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.41 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.43 | $0.43 | $0.34 | 2026-11-06 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS MS [200002] | HB BCBS MS - Olive Branch | $0.55 | $225.00 | $49.50 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | BCBS Commercial [200011] | HB BCBS MS - Olive Branch | $0.55 | $225.00 | $49.50 | 2026-03-19 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $192.69 | — | 2026-07-01 | MRF ↗ |
| HANCOCK COUNTY HOSPITAL Both | AMERIGROUP | AMERIGROUP | $0.75 | $454.32 | $104.49 | 2026-03-23 | MRF ↗ |
| HANCOCK COUNTY HOSPITAL Both | AMERIGROUP | AMERIGROUP | $0.82 | $495.33 | $113.93 | 2026-03-23 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $197.00 | $147.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $197.00 | $147.75 | 2026-09-02 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COVER TN | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $197.00 | $147.75 | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | $1.00 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $197.00 | $147.75 | 2026-09-02 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | HUMANA | MEDICARE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | WELLCARE | MEDICARE, MEDICARE PPO | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | NATIONAL NETWORK (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | SENIOR WHOLE HEALTH | MEDICARE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | MILLENNIUM (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | MEDICARE CHOICE PPO (HMO MEDICARE) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | UNITED HEALTH CARE- -OBHS | COMMERCIAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | CBP ((COMPREHENSIVE BENEFITS PLAN) (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | AETNA NETWORK SERVICES LLC-OBHS | MEDICARE ADVANTAGE; DUAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | HIPIC PRIME (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | ELDERPLAN, INC. - OBHS | MEDICARE ADVANTAGE PRESCRIPTION DRUG (MAPD) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | AETNA NETWORK SERVICES LLC-OBHS | COMMERCIAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | PARTNERS HEALTH PLAN, INC. | MEDICARE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | HIP (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | UNITED HEALTH CARE- -OBHS | MEDICARE ADVANTAGE; DUAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | UMR (FORMERLY KNOWN AS POMCO) | MEDICARE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMPIRE BLUECROSS BLUESHIELD-ANTHEM | COMMERCIAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC | MEDICARE & COMMERCIAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | SELECT CARE (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | GHI PPO (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | HEALTHFIRST PHSP, INC. | MEDICARE ADVANTAGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | METROPLUS HEALTH PLAN, INC. - OBHS | EXCHANGE QHP/SHOP | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CENTERLIGHT | MEDICARE ADVANTAGE; MEDICARE ADVANTAGE SNP | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | ELDERPLAN, INC. - OBHS | MANAGED LONG TERM CARE (MLTC) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | VILLAGECAREMAX-OBHS | MEDICARE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | METROPLUS HEALTH PLAN, INC. - OBHS | COMMERCIAL METROPLUS GOLD | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | HIP MEDICARE VIP BOLD NETWORK (HMO MEDICARE) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | VILLAGECAREMAX-OBHS | MLTC | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | BRIDGE NETWORK (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | GHI EPO (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | HIP MEDICARE VIP PRIME NETWORK (HMO MEDICARE) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | FIDELIS CARE | HEALTH BENEFIT EXCHANGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | NETWORK ACCESS (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | METROPLUS HEALTH PLAN, INC. - OBHS | GOLD CARE 2 | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | FIDELIS CARE | MEDICARE ADVANTAGE AND MANAGED LONG TERM CARE-MEDICAID ADVANTAGE PLUS | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMPIRE BLUECROSS BLUESHIELD-ANTHEM | MEDICARE ADVANTAGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | WELLCARE | HEALTH EXCHANGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS | DUAL (MMEDICARE/MEDICAID) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS | MAP, DUAL MEDICARE/MEDICAID | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MEDICARE ADVANTAGE DUAL ELIGIBLE SPECIAL NEED (D-SNP) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | METROPLUS HEALTH PLAN, INC. - OBHS | MEDICARE ADVANTAGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MANAGED LONG TERM CARE (MLTC) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MEDICARE ADVANTAGE INSTITUTIONAL NEEDS I- SNP | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | HIP MEDICARE VIP RESERVE NETWORK (HMO MEDICARE) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | AMIDA CARE | MEDICARE ADVANTAGE | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | Medicare | Medicare | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | METROPLUS HEALTH PLAN, INC. - OBHS | MEDICAID ADVANTAGE PLUS (MAP); DUAL MEDICARE/MEDICAID | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MEDICARE ADVANTAGE PRESCRIPTION DRUG (MAPD) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | ELDERPLAN, INC. - OBHS | SNP | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | EMBLEMHEALTH PLAN, INC -OBHS | TRISTATE NETWORK (COMMERCIAL) | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Both | VNS CHOICE -OBHS | MEDICARE ADVANTAGE; DUAL | $1.20 | $273.14 | $28.98 | 2026-08-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | $1.60 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | $1.70 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | $1.76 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | $1.76 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | $1.78 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Medicare | Medicare | $1.80 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Medicare Managed | Medicare Managed | $1.80 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | $1.80 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Humana Gold (Mcr) | Humana Gold (Mcr) | $1.82 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicare | Wellcare Medicare | $1.82 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare Advantage | Uhc Medicare Advantage | $1.84 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Aetna Medicare | Aetna Medicare | $1.85 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Cigna Healthspring (Mcr) | Cigna Healthspring (Mcr) | $1.85 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | $1.86 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | $1.86 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | $1.86 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | $1.88 | $2.00 | $0.80 | 2026-10-22 | MRF ↗ |
| OKEENE MUNICIPAL HOSPITAL Outpatient | PREF COMMUNITY CHOICE PPO-ALL PLANS | PREF COMMUNITY CHOICE PPO-ALL PLANS | $1.95 | $13.00 | $10.40 | 2026-08-12 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $2.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Medicare Managed | Medicare Managed | $2.25 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Medicare | Medicare | $2.25 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicare | Wellcare Medicare | $2.27 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Humana Gold (Mcr) | Humana Gold (Mcr) | $2.27 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare Advantage | Uhc Medicare Advantage | $2.31 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Aetna Medicare | Aetna Medicare | $2.32 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Cigna Healthspring (Mcr) | Cigna Healthspring (Mcr) | $2.32 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Occunet | Occunet | $2.39 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | $2.44 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Inpatient | Self-Pay | Self-Pay | $2.64 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Qualchoice | Qualchoice | $2.79 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Occunet | Occunet | $2.98 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Medicare A Tx J4 Trailblazer | Default | $2.99 | $5.00 | $5.00 | 2026-07-31 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Superior Health Plan | Medicaid Replacement | — | $5.00 | $5.00 | 2026-07-31 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $3.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $3.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | $3.05 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Inpatient | Self-Pay | Self-Pay | $3.30 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Qualchoice | Qualchoice | $3.49 | $15.00 | $3.30 | 2026-11-02 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | $3.64 | $12.00 | $2.64 | 2026-11-02 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Both | Medicaid Texas | Default | $3.70 | $5.00 | $5.00 | 2026-07-31 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Veterans (Mcr) | Veterans (Mcr) | $3.78 | $36.00 | $36.00 | 2026-10-16 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.90 | $162.00 | — | 2026-08-17 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Uhc | Quest | $4.00 | — | — | 2026-07-15 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Triple S VITAL | TSV | — | $79.28 | $63.42 | 2023-08-31 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Humana Gold | HG | — | $79.28 | $63.42 | 2023-08-31 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | HMO | $4.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Medicare y Mucho Mas | MMM | — | $79.28 | $63.42 | 2023-08-31 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Commercial | $4.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $4.00 | $5.00 | $3.00 | 2025-12-16 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | TRIPLE S ADVANTAGE | TSA | — | $79.28 | $63.42 | 2023-08-31 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | United Healthcare of Texas | Commercial | $4.00 | $5.00 | $3.00 | 2025-12-16 | 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.