90997 — Hemoperfusion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMOPERFUSION (CPT 90997) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90997?code_type=CPT
MLA (9th ed.)
“HEMOPERFUSION (CPT 90997) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90997?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HEMOPERFUSION (CPT 90997) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90997?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $106–$683 (25th–75th percentile) across 849 hospitals · 1,304 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90997 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$106
$309 typical
$683
The middle 50% of negotiated facility rates for this procedure, measured across 849 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $309 |
| Physician fee Estimate national typical Medicare $76 × 1.22 commercial. | $93 |
| Likely subtotal | $402 |
Complete-episode estimate (typical)
~$402
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 | Humana | 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 | Louisiana Healthcare Connection | Medicaid | — | — | — | 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 | HS Technology | 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 | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,730.00 | $1,365.00 | 2024-12-15 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| 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 | Aetna | Medicare Advantage | — | — | — | 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 | Three Rivers Provider Network | 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 | United Healthcare | Community Plan | — | — | — | 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 | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,730.00 | $1,365.00 | 2024-12-15 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 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 | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections, Inc. | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | AmeriHealth Mercy LA LaCare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | 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 ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | CHIP | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | OptionsPPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | CommercialNetworkP | — | — | — | 2024-12-10 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Superior | Star Plus KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Superior | Star KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Superior | Foster Care KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | First Care | KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Driscoll Children's Health Plan | Star KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Driscoll Children's Health Plan | Chip KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Community First | Star Kids KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Of Texas | Star Chip KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Driscoll Children's Health Plan | Star Kids KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Superior | Chip KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Community First | Star KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | El Paso First | KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Superior | Star Kids KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Aetna | Star KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER InpatientFacility | Aetna | Chip KM | $5.94 | $54.00 | $17.82 | 2026-01-13 | 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.