92938 — Prq Revasc Byp Graft Addl
Cite this view
HANK Price Transparency. (n.d.). PRQ REVASC BYP GRAFT ADDL (OTHER 92938) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92938?code_type=OTHER
“PRQ REVASC BYP GRAFT ADDL (OTHER 92938) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92938?code_type=OTHER. Accessed .
“PRQ REVASC BYP GRAFT ADDL (OTHER 92938) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92938?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,333–$15,834 (25th–75th percentile) across 103 hospitals · 292 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 92938 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $39.87 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $39.87 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Nys Empire Health Plan | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Blue Access & Small Group | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Nys Empire Health Plan | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Epo/Ppo/Hmo/Indemnity | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Epo/Ppo/Hmo/Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Blue Access & Small Group | — | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $42.53 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $42.53 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Cf | Hmo | $62.00 | $8,140.00 | $4,070.00 | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Cf | Ppo | $67.00 | $8,140.00 | $4,070.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Cf | Hmo | $68.00 | $8,140.00 | $4,070.00 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Cf | Ppo | $75.00 | $8,140.00 | $4,070.00 | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $78.73 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $78.73 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $82.67 | — | — | 2026-05-08 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Blue Access Small Group | $102.29 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $105.90 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Hmo | $108.31 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Indemnity Commercial | $117.66 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Ppo | $117.66 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Ppo/Epo | $120.34 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $123.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | $125.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $136.00 | — | — | 2026-05-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | $137.00 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $146.91 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $146.91 | — | — | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Mlp | $165.24 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Mlp | $165.24 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Mlp | $165.24 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Mlp | $165.24 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $176.15 | $438.00 | — | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Fidelis | Essential Plan Qhp | $177.14 | — | — | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $184.96 | $438.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $191.47 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $191.47 | $15,281.00 | $6,112.40 | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $191.47 | $438.00 | — | 2026-05-06 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $191.47 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $191.47 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $191.47 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $191.47 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Md Do | $194.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Md Do | $194.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Md Do | $194.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Md Do | $194.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $201.04 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $201.04 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Md | $201.04 | $438.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $201.04 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $210.74 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $210.74 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $224.79 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $224.79 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $225.99 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $225.99 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $230.29 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $230.29 | $15,281.00 | $6,112.40 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $230.29 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $230.29 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $230.29 | $15,281.00 | $6,112.40 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $230.29 | $16,210.00 | $6,484.00 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $239.44 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $239.44 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $239.44 | $7,454.00 | $5,217.80 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Hmo Openaccessplus Professional Mlp | $262.80 | $438.00 | — | 2026-05-06 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $263.69 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $263.69 | — | — | 2026-05-13 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $923.00 | $923.00 | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Professional Mlp | $279.23 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Ppo Professional Mlp | $290.83 | $438.00 | — | 2026-05-06 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $293.49 | $12,724.00 | $5,089.60 | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare Cancerresources | Professional | $306.60 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Promptpay Domestic | — | $306.60 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Openaccess Professional | $306.60 | $438.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $308.27 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Commercial | $309.62 | $7,454.00 | $5,217.80 | 2026-05-06 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Commercial | $309.62 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Commercial | $309.62 | $7,454.00 | $5,217.80 | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Professional Md | $315.36 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Ppo Professional Md | $316.80 | $438.00 | — | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $316.80 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $316.80 | — | — | 2026-05-14 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Hmo Professional Md | $316.80 | $438.00 | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $319.00 | $8,140.00 | $4,070.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $319.00 | $8,140.00 | $4,070.00 | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $320.00 | — | — | 2026-05-09 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $320.00 | $1,000.00 | $750.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $320.00 | $1,000.00 | $750.00 | 2026-05-24 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ontarioministriesofhealth | Professional | $324.12 | $438.00 | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $324.59 | — | — | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Professional Md | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Memorialhermannhealth | Professional | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Danish Health Authority Professional Rate | — | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Professional Mlp | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Embassyofqatar | Professional | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Hmo Openaccessplus Professional Md | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Beijingst.Lucia | Professional | $328.50 | $438.00 | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | $337.00 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | $337.00 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $350.00 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $350.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $350.00 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Interlink Cancercare | Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Emergingtherapysolutions Cancercare | Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Saudiarmedforces | Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uae Medical | Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uaepoliceattache | Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Promptpay International | — | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Kelseyseybold Professional | $350.40 | $438.00 | — | 2026-05-06 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | First Health | Firsthealthcommercial | $358.56 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Coresource | Coresource | $358.56 | — | — | 2026-05-27 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Ppo Professional Md | $363.54 | $438.00 | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | $366.00 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | $366.00 | — | — | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Ppo Professional | $372.30 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vantage | Professional | $372.30 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Healthsmart | Professional | $372.30 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Phcs | Professional | $394.20 | $438.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan | Professional | $394.20 | $438.00 | — | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $414.15 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $414.15 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $414.15 | $13,949.00 | $10,461.75 | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Aetna | Aetnacommercial | $414.68 | — | — | 2026-05-27 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Medcost | Medcost | $422.00 | $8,140.00 | $4,070.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Medcost | Medcost | $422.00 | $8,140.00 | $4,070.00 | 2026-05-06 | 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.