9504 — Rbc Deglycerolized
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RBC deglycerolized (OTHER 9504) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9504?code_type=OTHER
MLA (9th ed.)
“RBC deglycerolized (OTHER 9504) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9504?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“RBC deglycerolized (OTHER 9504) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9504?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $313–$654 (25th–75th percentile) across 316 hospitals · 504 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9504 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Sansum | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Humana | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Medicare | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Health Net | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Anthem Bcbs | Medicare | $6.63 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Work Comp | Medicare | $7.96 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Blue Shield National | Commercial | $10.40 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Anthem Bcbs | Commercial | $32.89 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $60.58 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Magellan | Commercial | $67.65 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $73.12 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $73.12 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $78.00 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $78.00 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Uhc | Commercial | $78.93 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Coventry | Commercial | $81.18 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $81.18 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $82.88 | $97.50 | $48.75 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $91.00 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Cigna Hmo | Commercial | $94.71 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Cigna Ppo | Commercial | $94.71 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $97.50 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Medi Cal | Medicaid | $112.75 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| LOMPOC VALLEY MEDICAL CENTER Outpatient | Tricare | Medicare | $112.75 | $112.75 | $56.38 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $117.00 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $137.29 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $139.52 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $139.52 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $169.18 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $169.18 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $202.22 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $208.44 | — | — | 2024-10-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $220.98 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $222.31 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $224.92 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $225.36 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $225.36 | — | — | 2026-03-12 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Exchange Facility | Mhs Exchange Facility | $230.21 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $232.00 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $233.33 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $253.53 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $256.66 | — | — | 2026-01-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $264.48 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $266.02 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $266.02 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $266.05 | — | — | 2026-03-01 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR STERLING | MMC WINDSOR STERLING | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MAGNOLIA PPO | MMC MAGNOLIA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WINDSOR EXTRA | MMC WINDSOR EXTRA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC PYRAMID LIFE | MMC PYRAMID LIFE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC CIGNA | MMC CIGNA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC UNITED | MMC UNITED | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC MISC | MMC MISC | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC WELLCARE | MMC WELLCARE | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC ALLWELL | MMC ALLWELL | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC AETNA | MMC AETNA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC BCBS | MMC BCBS | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | AMBETTER | AMBETTER | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $273.76 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $273.78 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $273.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $273.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $273.78 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $280.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $280.00 | — | — | 2024-10-01 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDIPAK | MEDIPAK | $282.63 | — | — | 2026-03-29 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE TELEHEALTH | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE SWINGBED | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE PART B ONLY | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE ROSTER BILLING | MEDICARE ROSTER BILLING | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE ROSTER BILLING | MEDICARE ROSTER BILLING | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE SWINGBED | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE TELEHEALTH | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER MEDICARE | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE PART B ONLY | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | MEDICARE | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $286.22 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $286.22 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $286.22 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $286.22 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $286.22 | — | — | 2025-01-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $288.84 | $580.00 | $580.00 | 2026-05-27 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $291.64 | — | — | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $291.82 | — | — | 2026-03-18 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $295.55 | — | — | 2026-05-06 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $295.78 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $299.01 | — | — | 2026-03-18 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $300.48 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $300.48 | — | — | 2026-03-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | St Agnes | Medicare | $300.65 | — | — | 2026-03-18 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BCBS MEDICARE ADVANTAGE | MMC BCBS MEDICARE ADV | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | VA MED CENTER | VA MED CENTER 136G | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | TRICARE/CHAMPUS GENERIC | TRICARE/CHAMPUS GENERIC | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | TRICARE ACTIVE DUTY | TRICARE ACTIVE DUTY | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | UHC MCARE DUAL ADVANTAGE | UHC MCARE DUAL ADVANTAGE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | VA CCN OPTUM HEALTH | VA CCN OPTUM HEALTH | $302.69 | — | — | 2026-03-29 | 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.