969 — HIV With Extensive O.r. Procedures With Mcc
Cite this view
HANK Price Transparency. (n.d.). HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC (OTHER 969) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/969?code_type=OTHER
“HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC (OTHER 969) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/969?code_type=OTHER. Accessed .
“HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC (OTHER 969) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/969?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,865–$112,021 (25th–75th percentile) across 540 hospitals · 1,485 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 969 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $2.69 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $2.69 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $2.69 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $2.75 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $2.77 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $2.83 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $4.83 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $4.83 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $4.83 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $5.38 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $7.94 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $8.36 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $9.05 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $9.20 | $9.20 | $9.20 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $9.20 | $9.20 | $9.20 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $9.20 | $9.20 | $9.20 | 2026-05-14 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $9.35 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $10.00 | $10.00 | $10.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $10.00 | $10.00 | $10.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $10.00 | $10.00 | $10.00 | 2026-05-14 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $11.14 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $11.70 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $13.25 | $220.00 | $110.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $13.25 | $220.00 | $110.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $13.93 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $13.93 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $13.93 | $13.93 | $9.89 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $19.76 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $19.76 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $20.00 | $20.00 | $20.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $20.00 | $155.00 | $77.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $20.00 | $155.00 | $77.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $20.00 | $20.00 | $20.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $20.00 | $20.00 | $20.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $20.81 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $20.81 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $20.81 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $20.81 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Ucare | Medicaid Replacement | — | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medicare A Mn J6 | Default | — | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Mn | Medicaid Replacement | $22.44 | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medicaid Minnesota | Default | $30.69 | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $37.94 | $37.94 | $37.94 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $37.94 | $37.94 | $37.94 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $37.94 | $37.94 | $37.94 | 2026-05-14 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | PRIVATE HEALTHCARE | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Connecticut General Life Insurance Company | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $43.84 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $46.15 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $46.15 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medica | Default | $54.81 | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $55.66 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Mn | Default | $57.50 | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Humana | Default | $60.13 | $63.29 | $44.94 | 2026-05-09 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $80.00 | $80.00 | $80.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $80.00 | $80.00 | $80.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $80.00 | $80.00 | $80.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $85.25 | $155.00 | $77.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $85.25 | $155.00 | $77.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $90.00 | $90.00 | $90.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $90.00 | $90.00 | $90.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $90.00 | $90.00 | $90.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $93.00 | $155.00 | $77.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $105.98 | $105.98 | $105.98 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $105.98 | $105.98 | $105.98 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $105.98 | $105.98 | $105.98 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $109.85 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $110.98 | $110.98 | $110.98 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $110.98 | $110.98 | $110.98 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $110.98 | $110.98 | $110.98 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $113.84 | $113.84 | $113.84 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $113.84 | $113.84 | $113.84 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $113.84 | $113.84 | $113.84 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $119.23 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $121.00 | $220.00 | $110.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $121.00 | $220.00 | $110.00 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $124.50 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $124.50 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $128.15 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $128.15 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $131.82 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $131.82 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $131.82 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $132.00 | $220.00 | $110.00 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $136.22 | $146.47 | $109.85 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $139.80 | $233.00 | $116.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $159.68 | $159.68 | $159.68 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $159.68 | $159.68 | $159.68 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $159.68 | $159.68 | $159.68 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $160.62 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $168.26 | $168.26 | $168.26 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $168.26 | $168.26 | $168.26 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $168.26 | $168.26 | $168.26 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $169.07 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $169.07 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $169.84 | $1,349.00 | $674.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $178.78 | $1,349.00 | $674.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $178.78 | $1,349.00 | $674.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $179.00 | $179.00 | $179.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $179.00 | $179.00 | $179.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $179.00 | $179.00 | $179.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $200.00 | $200.00 | $200.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $200.00 | $200.00 | $200.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $200.00 | $200.00 | $200.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Health Net Federal | — | $205.69 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $213.11 | $213.11 | $213.11 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $213.11 | $213.11 | $213.11 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $213.11 | $213.11 | $213.11 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $215.60 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $215.60 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Vantage | Medicare Advantage | $216.52 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Humana | — | $216.52 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $221.26 | $221.26 | $221.26 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $221.26 | $221.26 | $221.26 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $221.26 | $221.26 | $221.26 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $235.20 | $392.00 | $196.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $238.87 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $238.87 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $257.76 | $257.76 | $257.76 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $257.76 | $257.76 | $257.76 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $257.76 | $257.76 | $257.76 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $260.59 | $434.31 | $217.16 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Hmo | $268.00 | $24,665.52 | $6,166.38 | 2026-05-08 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | Florida Blue | Florida Blue Commercial Hmo | $268.00 | $60,908.71 | $15,227.18 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Hmo | $268.00 | $24,665.52 | $6,166.38 | 2026-05-24 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | Florida Blue | Florida Blue Commercial Ppo | $287.00 | $60,908.71 | $15,227.18 | 2026-05-08 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | Florida Blue | Florida Blue Commercial Phs | $287.00 | $60,908.71 | $15,227.18 | 2026-05-08 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | Florida Blue | Florida Blue Commercial Network Blue | $287.00 | $60,908.71 | $15,227.18 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Network Blue | $287.00 | $24,665.52 | $6,166.38 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Phs | $287.00 | $24,665.52 | $6,166.38 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Ppo | $287.00 | $24,665.52 | $6,166.38 | 2026-05-08 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Ppo | $287.00 | $24,665.52 | $6,166.38 | 2026-05-24 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Phs | $287.00 | $24,665.52 | $6,166.38 | 2026-05-24 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | Florida Blue | Florida Blue Commercial Network Blue | $287.00 | $24,665.52 | $6,166.38 | 2026-05-24 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $300.00 | $300.00 | $300.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $300.00 | $300.00 | $300.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $300.00 | $300.00 | $300.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $331.10 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $331.10 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $355.86 | $355.86 | $355.86 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $355.86 | $355.86 | $355.86 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $355.86 | $355.86 | $355.86 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $361.20 | $602.00 | $301.00 | 2026-05-08 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $365.88 | $365.88 | $365.88 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $365.88 | $365.88 | $365.88 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $365.88 | $365.88 | $365.88 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $369.60 | $528.00 | $264.00 | 2026-05-09 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | First Choice | — | $384.45 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Verity | — | $384.45 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $396.00 | $528.00 | $264.00 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $396.00 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $396.00 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Outpatient | Cigna | — | $419.40 | $699.00 | $349.50 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $422.40 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $422.40 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Managed Medicaid | $442.50 | $442.50 | $442.50 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Medicare Advantage | $442.50 | $442.50 | $442.50 | 2026-05-14 | MRF ↗ |
| LBJ TROPICAL MEDICAL CENTER Both | American Samoa | Self Pay | $442.50 | $442.50 | $442.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $448.80 | $528.00 | $264.00 | 2026-05-23 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Cigna | Commercial All | $457.59 | — | — | 2026-05-13 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Cigna Connect | Commercial | $465.54 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Cigna Connect | Commercial | $465.54 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Cigna Connect | Commercial | $465.54 | — | — | 2026-01-30 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $475.20 | $528.00 | $264.00 | 2026-05-09 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Cigna Comm | Commercial | $507.32 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Cigna Comm | Commercial | $507.32 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Cigna Comm | Commercial | $507.32 | — | — | 2026-01-30 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Upmc | Medicare Advantage Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Upmc | Medicare Advantage Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Amerigroup | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Novanet | Motor Vehicle Specialty Network | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Dual-Eligible | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Pos | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Novanet | Workers Compensation Specialty Network | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-05-18 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Ppo | — | — | — | 2026-05-18 | 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.