9104 — Antithymocyte Globuln Rab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Antithymocyte globuln rab (OTHER 9104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9104?code_type=OTHER
MLA (9th ed.)
“Antithymocyte globuln rab (OTHER 9104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9104?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Antithymocyte globuln rab (OTHER 9104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9104?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,005–$1,336 (25th–75th percentile) across 296 hospitals · 432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Anthem Bcbs | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Medicare | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Health Net | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Humana | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Sansum | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Medicare | $8.17 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Work Comp | Medicare | $9.80 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield National | Commercial | $12.83 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Anthem Bcbs | Commercial | $40.63 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Magellan | Commercial | $70.95 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Commercial | $82.78 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Commercial | $85.14 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $85.14 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Cigna Ppo | Commercial | $99.33 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Cigna Hmo | Commercial | $99.33 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Medi Cal | Medicaid | $118.25 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Tricare | Medicare | $118.25 | $118.25 | $59.13 | 2026-05-09 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $151.46 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $151.46 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $151.46 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $522.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $523.34 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $621.88 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $641.02 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $717.55 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $727.02 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $727.02 | — | — | 2026-03-12 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $765.39 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $765.39 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $765.39 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $765.39 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $765.39 | — | — | 2024-10-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $791.02 | $1,130.03 | $565.01 | 2026-05-09 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $807.80 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $819.48 | — | — | 2026-01-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $834.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $841.93 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $841.93 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $841.93 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $841.93 | — | — | 2024-10-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $847.52 | $1,130.03 | $565.01 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $847.52 | $1,130.03 | $565.01 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $847.52 | $1,130.03 | $565.01 | 2026-05-09 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $858.19 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $858.19 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $858.29 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $861.07 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $861.07 | — | — | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $869.45 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $880.20 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $880.20 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $880.20 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $880.20 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $880.20 | — | — | 2025-01-01 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $898.00 | — | — | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $904.02 | $1,130.03 | $565.01 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $904.02 | $1,130.03 | $565.01 | 2026-05-14 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $904.12 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $904.12 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $904.12 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $904.12 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $904.12 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $908.90 | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $908.90 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $908.90 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $908.90 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $908.90 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $908.90 | — | — | 2026-05-06 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $908.90 | — | — | 2024-10-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $911.20 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $911.20 | — | — | 2026-05-23 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $918.47 | — | — | 2024-10-01 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $926.09 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $926.09 | — | — | 2026-05-06 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $927.94 | — | — | 2026-05-13 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $929.03 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Indian Health Benefits | Managed Care | $929.03 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $929.03 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $929.03 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Global Health | Medicare | $929.03 | — | — | 2026-05-07 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $931.26 | — | — | 2026-02-12 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $934.90 | — | — | 2026-05-13 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $937.60 | — | — | 2026-05-06 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $937.60 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $937.60 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | MCRPPO | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | MCRHMO | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | Coventry | MedicareAdvantage | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRHMO | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRPPO | $947.17 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPOS | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | HUMANA | MGMCRPPO | $947.17 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $949.40 | — | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $949.40 | — | — | 2026-05-13 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Outpatient | Prominence | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $950.26 | — | — | 2026-05-06 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Promise Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Scan | Medicare | $950.26 | — | — | 2026-05-13 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $950.26 | — | — | 2026-02-12 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $950.26 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicare | $950.26 | — | — | 2026-05-07 | 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.