9114 — Inj Eflapegrastim-xnst 0.
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj eflapegrastim-xnst 0. (OTHER 9114) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9114?code_type=OTHER
MLA (9th ed.)
“Inj eflapegrastim-xnst 0. (OTHER 9114) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9114?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj eflapegrastim-xnst 0. (OTHER 9114) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9114?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24–$35 (25th–75th percentile) across 304 hospitals · 452 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9114 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3.53 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $3.53 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3.53 | — | — | 2026-03-01 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Sansum | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Anthem Bcbs | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Humana | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Health Net | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Medicare | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Medicare | $4.75 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Work Comp | Medicare | $5.70 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield National | Commercial | $7.46 | $78.00 | $39.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $10.92 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $12.44 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $14.79 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $15.25 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $16.96 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $16.96 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $17.07 | — | — | 2024-10-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $17.12 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $18.16 | — | — | 2026-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $18.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $18.20 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $18.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $18.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $18.20 | — | — | 2024-10-01 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 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 | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | 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 ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $18.84 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $19.83 | — | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $19.83 | — | — | 2026-05-13 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $19.84 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20.02 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20.02 | — | — | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $20.02 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20.02 | — | — | 2024-10-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $20.02 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $20.02 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $20.02 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $20.46 | — | — | 2026-05-09 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $20.48 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $20.48 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Wellcare | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Thome Pace | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-14 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE 1305 | INDEPENDENT HEALTH MEDICARE 130501 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-14 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellmed | Medicare Advantage | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Amerigroup Tx | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | United | Medicare Advantage | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Veteran Affairs Community Care Program | Government | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Aetna | Medicare Advantage | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| Wise Health System Outpatient | BCBS | MCRPPO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Bcbs | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | BCBS | MGMCRHMO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Triwest | Medicare Advantage | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-23 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | TOTAL SENIOR CARE 1319 | TOTAL SENIOR CARE 131901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-24 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $20.87 | — | — | 2026-05-17 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | BCBS | MCRPPO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-24 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-24 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Elite-Ohio | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Hap | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-24 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Priority Health | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Molina | Qhp | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Wellmed | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health Dual | Medicare Advantage | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | El Paso Health Dual | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare | Medicare Advantage | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | ELDERPLAN 1316 | ELDERPLAN 131601 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | BCBS | MGMCRHMO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Bcbs | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | MGMCRHMO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Aetna | Medicare Advantage | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | MCRPPO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | BCBS | MCRPPO | $20.87 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Triwest | Government | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Molina | Qhp | $20.87 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $20.87 | — | — | 2026-04-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Humana | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicare Advantage | $20.87 | — | — | 2026-05-06 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Medicare | Medicare | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Amerigroup | Medicare Advantage | $20.87 | — | — | 2026-05-13 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $20.87 | — | — | 2026-01-01 | MRF ↗ |
| Wise Health System Outpatient | BCBS | MGMCRHMO | $20.87 | — | — | 2026-03-01 | 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.