92975 — Dissolve Clot Heart Vessel
Cite this view
HANK Price Transparency. (n.d.). DISSOLVE CLOT HEART VESSEL (HCPCS 92975) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92975?code_type=HCPCS
“DISSOLVE CLOT HEART VESSEL (HCPCS 92975) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92975?code_type=HCPCS. Accessed .
“DISSOLVE CLOT HEART VESSEL (HCPCS 92975) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92975?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $638–$4,590 (25th–75th percentile) across 1,613 hospitals · 3,038 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92975 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $329.36 | $164.68 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $329.36 | $164.68 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CAREMORE MEDICARE ADVANTAGE | CAREMORE MEDICARE ADVANTAGE | $0.21 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | $0.30 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $13,387.00 | — | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $5,668.00 | $4,251.00 | 2026-06-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $5,668.00 | $4,251.00 | 2026-06-05 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | $6,904.00 | $5,178.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $7,040.00 | $5,280.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $6,417.00 | $4,812.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,917.00 | $2,187.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $4,738.00 | $3,553.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $1,162.00 | $871.50 | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.95 | $1,085.00 | — | 2024-12-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $2.64 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $2.64 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $2.83 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $2.83 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|All Other Plans | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|Lakeside | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|All Other Plans | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|Lakeside | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $3.28 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $3.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $3.80 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $3.80 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | TCHP | Medicaid|STARKIDS | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | TCHP | Medicaid|STARKIDS | $4.10 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $4.19 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $4.19 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STAR | $4.40 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|STAR | $4.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | TCHP | Medicaid|STARKIDS | $4.51 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | TCHP | Medicaid|All Other Plans | $4.51 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | UNITED | Medicaid|All Other Plans | $4.61 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STAR | $5.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STAR | $5.50 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STAR | $5.62 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STAR | $5.62 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STAR | $5.62 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STAR | $5.62 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | TCHP | Medicaid|STAR | $6.05 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | UNITED | Medicaid|STAR | $6.18 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | $6.75 | $9,819.00 | $3,927.60 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Hix | $6.75 | $9,819.00 | $3,927.60 | 2026-05-08 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STARPLUS | $8.65 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STARPLUS | $8.65 | $39.60 | $13.86 | 2026-02-28 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Hix | $9.36 | $9,819.00 | $3,927.60 | 2026-07-31 | MRF ↗ |
| SOVAH HEALTH DANVILLE OutpatientFacility | BCBS of VA | Anthem HIX | $9.36 | — | — | 2026-04-14 | MRF ↗ |
| Sovah Health - Martinsville OutpatientFacility | BCBS of VA | Anthem HIX | $9.36 | — | — | 2026-07-10 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Hix | $9.36 | $10,756.00 | $4,302.40 | 2026-05-17 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UHC | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|STARPLUS | $10.24 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $10.97 | — | — | 2026-07-15 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | OPTUM | Medicare|All Plans | $11.07 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $12.80 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | $13.37 | $9,819.00 | $3,927.60 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE OutpatientFacility | BCBS of VA | Anthem Blue Cross HMO | $13.37 | — | — | 2026-04-14 | MRF ↗ |
| Sovah Health - Martinsville OutpatientFacility | BCBS of VA | Anthem Blue Cross HMO | $13.37 | — | — | 2026-07-10 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | $13.37 | $9,819.00 | $3,927.60 | 2026-07-31 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | $13.37 | $10,756.00 | $4,302.40 | 2026-05-17 | MRF ↗ |
| SOVAH HEALTH DANVILLE OutpatientFacility | BCBS of VA | Anthem Blue Cross PPO | $13.56 | — | — | 2026-04-14 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | $13.56 | $10,756.00 | $4,302.40 | 2026-05-17 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | $13.56 | $9,819.00 | $3,927.60 | 2026-07-31 | MRF ↗ |
| Sovah Health - Martinsville OutpatientFacility | BCBS of VA | Anthem Blue Cross PPO | $13.56 | — | — | 2026-07-10 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | UHC | Medicaid|STARPLUS | $14.08 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | UNITED | Medicaid|STARPLUS | $14.08 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | TCHPCHIP | Medicaid|HMO | $14.35 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | OPTUM | Medicaid|STAR | $14.84 | $41.00 | $14.35 | 2026-02-28 | 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.