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–$405 (25th–75th percentile) across 292 hospitals · 382 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Healthchoice Ppo | — | $1.15 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $2.42 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $2.42 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $4.00 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $4.03 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $4.03 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $4.34 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $4.60 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $4.60 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $5.75 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $6.07 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $6.10 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $6.69 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $6.79 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $7.71 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $8.05 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $9.20 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $9.43 | $11.50 | $1.15 | 2026-07-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $46.95 | — | — | 2026-03-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $168.95 | — | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $169.18 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $169.18 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $170.18 | — | — | 2026-07-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $173.11 | — | — | 2026-09-15 | 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 ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $217.78 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $225.36 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $225.36 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $233.33 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $248.89 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $250.40 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $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 ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $264.85 | — | — | 2026-07-15 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $266.02 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY 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 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 | MMC BCBS | MMC BCBS | $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 CIGNA | MMC CIGNA | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CHAMPUS TRICARE | TRICARE | $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 MAGNOLIA PPO | MMC MAGNOLIA | $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 WINDSOR EXTRA | MMC WINDSOR EXTRA | $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 MISC | MMC MISC | $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 | AMBETTER | AMBETTER | $270.98 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MMC HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $270.98 | — | — | 2024-06-27 | 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 ↗ |
| LONE PEAK 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 ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $271.29 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST 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 ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $281.70 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $281.70 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $281.70 | — | — | 2026-03-12 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDIPAK | MEDIPAK | $282.63 | — | — | 2026-03-29 | 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 | MEDICARE | $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 | MEDICARE PART B ONLY | $284.52 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICARE | GER 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 ATASCOSA 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 ↗ |
| 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 | JAB002 Commercial Exchange | $291.82 | — | — | 2026-09-15 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | 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 STONE OAK Outpatient | WellMed | MCR | $294.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $295.55 | — | — | 2026-07-15 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $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 ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $295.55 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $295.55 | — | — | 2024-10-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $295.78 | — | — | 2026-03-01 | MRF ↗ |
| SUMMERLIN HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $295.79 | — | — | 2026-09-11 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | Wellpoint | MGMCD | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Palm Beach PACE | MCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $297.35 | — | — | 2026-03-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $298.67 | — | — | 2024-10-01 | 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 ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $299.01 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $299.01 | — | — | 2026-09-15 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $300.48 | — | — | 2026-03-01 | MRF ↗ |
| ALASKA REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $300.48 | — | — | 2026-09-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $300.48 | — | — | 2026-03-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | St Agnes | Medicare | $300.65 | — | — | 2026-09-15 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | HUMANA GOLD CHOICE | MMC HUMANA GOLD CHOICE | $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 | AR BLUE MEDICARE | MMC AR BLUE MEDICARE | $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 | WINDSOR MEDICARE EXTRA | WINDSOR MEDICARE EXTRA | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | WPS TRICARE FOR LIFE | WPS TRICARE FOR LIFE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | WINDSOR STERLING | WINDSOR STERLING | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | QUALCHOICE ADVANTAGE | QUALCHOICE ADVANTAGE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | UHC MEDICARE | MMC UHC MEDICARE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | AETNA MEDICARE | MMC AETNA MEDICARE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDICARE | MEDICARE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | WELLCARE AHC | WELLCARE AHC | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | OPTUMHEALTH | OPTUMHEALTH | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | AARP MEDICARE COMPLETE | MMC AARP MEDICARE COMPLET | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | UHC MEDICARE | UHC MEDICARE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | HUMANA | HUMANA HEALTH PLAN INC | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDIPAK ADVANTAGE | MEDIPAK ADVANTAGE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | CIGNA MEDICARE ACCESS | MMC CIGNA MEDICARE ACCESS | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDICARE RAILROAD | RAILROAD MEDICARE | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BCBS MEDICARE ADVANTAGE | MMC BCBS MEDICARE ADV | $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 ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | CHAMPVA | CHAMPVA | $302.69 | — | — | 2026-03-29 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $303.61 | — | — | 2026-03-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $303.85 | — | — | 2026-09-15 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | Ambetter Wellcare | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | Va Ccn | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $304.89 | — | — | 2026-07-15 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $304.89 | — | — | 2025-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $304.89 | — | — | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | MGMCR | $306.74 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | MGMCR | $306.74 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | MGMCR | $306.74 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | GVT | $306.74 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $306.74 | — | — | 2026-03-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.