9104 — Antithymocyte Globuln Rabbit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Antithymocyte globuln rabbit (CPT 9104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9104?code_type=CPT
MLA (9th ed.)
“Antithymocyte globuln rabbit (CPT 9104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9104?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Antithymocyte globuln rabbit (CPT 9104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9104?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $950–$1,650 (25th–75th percentile) across 21 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 9104 — 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 |
|---|---|---|---|---|---|---|---|
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $10.90 | $9.16 | 2026-05-09 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $10.52 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $11.93 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $12.63 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $12.77 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $13.27 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $13.33 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $13.33 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $13.33 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $13.33 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $13.33 | $14.03 | $14.03 | 2026-05-06 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $104.52 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $118.46 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $125.42 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $126.82 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $131.83 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $132.39 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $132.39 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $132.39 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $132.39 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $132.39 | $139.36 | $139.36 | 2026-05-06 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Oscar Health | Exchange | $170.23 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Devoted Healthcare | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Humana | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Medicare | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Hmo | $236.43 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Medicare | $241.15 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Medicare (Wellcare) | $243.52 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Exchange (Ambetter) | $283.71 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Hst Technologies | Epo, Ppo | $453.94 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | $619.00 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | $684.00 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | 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 | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $898.00 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Sierra Health Plan Of Nevada | Medicare | $898.00 | — | — | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $898.00 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $898.00 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $950.26 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $950.26 | — | — | 2026-05-14 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Humana | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Managed Care | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Prominence | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Molina | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $950.26 | — | — | 2026-05-24 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Senioradvantage Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | United Healthcare | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Molina | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Prominence | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Humana | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Superior | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Cigna | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Blue Shield | Promise Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Epic Health Plan | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Iehp | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Palomar | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Primecare | Medicare | $950.26 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Caremore Health | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicare | $950.26 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $950.26 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $950.26 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | $950.26 | — | — | 2026-05-14 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Aetna | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Tx | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $969.27 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $969.27 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $969.27 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $969.27 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $969.27 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $969.27 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Kaiser | Medicaid | $969.27 | — | — | 2026-05-14 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $969.27 | — | — | 2026-05-24 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $969.27 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $969.27 | — | — | 2026-05-06 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Humana | Gold Medicare | $969.27 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Heritage | Medicare | $969.27 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Kaiser | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Molina | Medicare | $969.27 | — | — | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Alignment Health | Medicare | $969.27 | — | — | 2026-05-13 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Humana | Gold Medicare | $969.27 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $969.65 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Wellmed | Medicare | $969.65 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $974.02 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Medicaid | $974.02 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $978.77 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Aetna | Medicare | $978.77 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $978.77 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Aetna | Medicare | $978.77 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | United Healthcare | Medicare | $978.77 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $978.77 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Easy Choice | Medicare | $978.77 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $978.77 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $978.77 | — | — | 2026-05-23 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Unitedhealthcare | Medicare | $978.77 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Easy Choice | Medicare | $978.77 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Alignment Health | Medicare | $978.77 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $983.52 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $983.52 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Medicare | $983.52 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | United Healthcare | Medicare | $983.52 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Outpatient | Brand New Day | Medicare | $983.52 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $983.52 | — | — | 2026-05-23 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $988.27 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $988.27 | — | — | 2026-05-24 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Medicare | $988.27 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Medicare | $988.27 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $997.77 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Medicare | $997.77 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | United Healthcare | Medicare | $997.77 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Superior | Medicare | $997.77 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Amerigroup | Medicare | $997.77 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $1,016.78 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicaid | $1,016.78 | — | — | 2026-05-14 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | $1,100.00 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $1,282.85 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Outpatient | Molina | Qhp | $1,282.85 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $1,311.36 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Outpatient | Lacare | Medicaid | $1,311.36 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Caprock Health Plan | Managed Care | $1,425.39 | — | — | 2026-05-06 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | $1,500.00 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | $1,650.14 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $1,662.96 | — | — | 2026-05-13 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $1,662.96 | — | — | 2026-05-06 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Aetna | Qhp | $1,662.96 | — | — | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Aetna | Qhp | $1,662.96 | — | — | 2026-05-24 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $1,776.99 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Silver Summit | Managed Care | $1,776.99 | — | — | 2026-05-06 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $1,776.99 | — | — | 2026-05-13 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Silver Summit | Managed Care | $1,776.99 | — | — | 2026-05-24 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | $1,781.00 | $2,662.00 | $931.70 | 2026-05-08 | MRF ↗ |
| HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $1,824.51 | — | — | 2026-05-24 | MRF ↗ |
| WEST HENDERSON HOSPITAL Outpatient | Select Health | Managed Care | $1,824.51 | — | — | 2026-05-13 | MRF ↗ |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $1,824.51 | — | — | 2026-05-08 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Select Health | Managed Care | $1,824.51 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Outpatient | Insurance Management Services | Managed Care | $1,900.52 | — | — | 2026-05-06 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $33,561.68 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $33,561.68 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $35,732.72 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $42,565.34 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $42,565.34 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $42,565.34 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $42,565.34 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $42,565.34 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $42,565.34 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $43,291.34 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $43,291.34 | — | — | 2026-05-08 | 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.