943 — Octagam Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Octagam injection (OTHER 943) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/943?code_type=OTHER
MLA (9th ed.)
“Octagam injection (OTHER 943) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/943?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Octagam injection (OTHER 943) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/943?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$82 (25th–75th percentile) across 274 hospitals · 425 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 943 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Uhc | Uhc | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Vaughan-Bassett Furniture Co. | Vaughan-Bassett | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Hix | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Gateway | Gateway | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Sentara (Optima) | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Cigna | Cigna | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Medcost | Medcost | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Optima | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Aetna | Aetna | — | $6.61 | $2.64 | 2026-05-23 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $1.07 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser Medicaid | Medicaid | $1.18 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Coordinated Care Ambetter Exchange | Medicare | $1.18 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Va | Medicare | $1.18 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $1.18 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc | Commercial | $1.18 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Molina | Medicaid | $1.20 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Chpw Medicare | Medicare | $1.21 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Bcbs Of Nc | Bcbs Hix | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Bcbs Of Nc | Bcbs Of Nc | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc Hix | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Devoted Health | Devoted | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Medcost | Medcost | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| PERSON MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter | — | $8.00 | $3.20 | 2026-05-09 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Molina Exchange | Medicaid | $1.53 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $1.85 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $1.85 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $1.85 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $1.89 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $1.91 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $1.95 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Li | Commercial | $2.25 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Cigna | Cigna Ppo | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Anthem | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Cigna | Cigna Open Access Plus | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | United Healthcare | United Healthcare Baseline | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Coventry | Coventry Care National Network | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Sagamore | Sagamore Health Network | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Humana | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Cigna | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Encore | Encore | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Champva | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Phcs | Phcs | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Humana | Humana Choice Care Plus | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | First Health Network | First Health Network | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Multiplan | Multiplan | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Siho | Siho Acr | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Caresource | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Galaxy Health | Galaxy Health Network | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Mhs Ambetter | Mhs Ambetter Marketplace | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Va Hospital | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Anthem | Anthem | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Coventry | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Aetna | Aetna | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Helping Hands Amish | Helping Hands Amish | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Indiana Dept Of Corrections | Indiana Dept Of Corrections | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | United Arab Emirates | United Arab Emirates | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | United Healthcare | United Healthcare Umr - Wausau | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Iu Health Plans | Iu Health Plans | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Caresource | Caresource Marketplace | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Encore | Encore Combined | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Allied National Funding | Allied National Funding/Freedom Plan | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Aetna | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Naphcare | Naphcare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Aetna | Aetna Sony | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Siho | Siho | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Sagamore | Sagamore Select Drg | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Humana | Humana Choice Care | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Umwa | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Siho | Siho Employee | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | 100% Managed Medicare | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Corvel Corcare | Corvel Corcare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Healthlink | Healthlink | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Tricare | Tricare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Health Alliance | Health Alliance - Midwest | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Coventry | Coventry Care National | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | United Healthcare | 100% Managed Medicare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | United Healthcare | United Healthcare | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Sagamore | Sagamore | — | $8.00 | $4.80 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Regence | Commercial | $2.37 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Medica | Managed Medicaid | $2.60 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $2.60 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Medica | Medicare Advantage | $2.60 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Premera Affordable Care | Commercial | $2.64 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Premera | Commercial | $2.64 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage | — | $2.65 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Meritain | Domestic | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Health2Business | Tier 1 Sanilac County | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Blue Cross | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Medicare Advantage | All Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Hap | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Mclaren | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Blue Care Network | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Aetna Cofinity Meritain | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | United Healthcare | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MCKENZIE HEALTH SYSTEM Both | Priority Health | All Commercial Plans | — | $5.00 | $4.00 | 2026-05-06 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark Bcbs | Hmo | $3.20 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | Wellmark Bcbs | Ppo | $3.20 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Medica Insurance | Ind | $3.25 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Medica Insurance | Ind | $3.25 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $3.33 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $3.33 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $3.33 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $3.33 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $3.33 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $3.50 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $3.50 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser Medicare | Medicare | $3.50 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $3.70 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Medica Insurance | Com | $3.86 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Medica Insurance | Com | $3.86 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $3.95 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $3.95 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Sagamore | Sagamore Health Network | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Arab Emirates | United Arab Emirates | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Humana | Humana Choice Care Plus | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Phcs | Phcs | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Aetna | Aetna Sony | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Siho | Siho Employee | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Siho | Siho | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Humana | Humana Choice Care | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare Baseline | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | First Health Network | First Health Network | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare Umr - Wausau | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Aetna | Aetna | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Coventry | Coventry Care National Network | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Allied National Funding | Allied National Funding/Freedom Plan | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Corvel Corcare | Corvel Corcare | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Health Alliance | Health Alliance - Midwest | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Galaxy Health | Galaxy Health Network | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Siho | Siho Acr | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Encore | Encore | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Anthem | Anthem | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Cigna | Cigna Open Access Plus | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Sagamore | Sagamore | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Healthlink | Healthlink | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Coventry | Coventry Care National | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Cigna | Cigna Ppo | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Sagamore | Sagamore Select Drg | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Helping Hands Amish | Helping Hands Amish | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Multiplan | Multiplan | — | $8.00 | $4.80 | 2026-05-09 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $4.25 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Unitedhealthcare Insurance | Com | $4.27 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Unitedhealthcare Insurance | Com | $4.27 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Kaiser | Commercial | $4.33 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Chpw Cascade Care | Medicare | $4.41 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Healthpartners Insurance | Com | $4.60 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Healthpartners Insurance | Com | $4.60 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Inpatient | United Healthcare | — | $4.65 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | — | $4.75 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Rental Network | $4.75 | $5.00 | $3.50 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | First Choice | Commercial | $4.83 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Avera Health Insurance | Com | $4.85 | $5.00 | $4.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Inpatient | Avera Health Insurance | Com | $4.85 | $5.00 | $4.85 | 2026-05-18 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Tpsc | Commercial | $5.46 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $5.47 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $5.75 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Umr | Commercial | $5.78 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Uhc Medicare | Medicare | $5.78 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Aetna | Commercial | $6.16 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $6.23 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $6.43 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $6.68 | $448.00 | $179.20 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Washington State Hca | Medicaid | $7.00 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Humana | Commercial | $7.00 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Bcchp | Commercial | $7.00 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Great Rivers | Commercial | $7.00 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Healthcomp | Commercial | $7.00 | $7.00 | $4.55 | 2026-05-08 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $7.11 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $7.11 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $7.11 | — | — | 2026-03-01 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $7.22 | $448.00 | $179.20 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $7.22 | $448.00 | $179.20 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $7.67 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $8.06 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $9.59 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $9.59 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $9.59 | $9.59 | $6.81 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | $9.60 | $48.00 | $24.00 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $10.69 | $758.00 | $303.20 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $10.69 | $758.00 | $303.20 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $10.69 | $758.00 | $303.20 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $11.08 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | $12.40 | $62.00 | $31.00 | 2026-05-08 | MRF ↗ |
| OZARK HEALTH Both | Medicare A Ar Jh | Default | $15.29 | $52.00 | $27.04 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Blue Cross Blue Shield Of Ar | Medicare Advantage | $15.29 | $52.00 | $27.04 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Humana | Medicare Advantage | $15.29 | $52.00 | $27.04 | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL INC | Payer Negotiated Charge: Bcbs Of Al | — | $15.54 | $42.00 | $21.00 | 2026-05-22 | MRF ↗ |
| OZARK HEALTH Both | United Healthcare | Medicare Advantage | $15.60 | $52.00 | $27.04 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Va Community Care Network Vaccn Region 1-3 Optum | Default | $15.60 | $52.00 | $27.04 | 2026-05-09 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Nc | Medicare Advantage | $15.69 | $53.36 | $26.68 | 2026-05-06 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicare A Nc Jm | Default | $15.69 | $53.36 | $26.68 | 2026-05-06 | MRF ↗ |
| OZARK HEALTH Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $15.75 | $52.00 | $27.04 | 2026-05-09 | 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.