A2001 — Innovamatrix Ac, Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INNOVAMATRIX AC, PER SQ CM (HCPCS A2001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A2001?code_type=HCPCS
MLA (9th ed.)
“INNOVAMATRIX AC, PER SQ CM (HCPCS A2001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A2001?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INNOVAMATRIX AC, PER SQ CM (HCPCS A2001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A2001?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $179–$1,681 (25th–75th percentile) across 1,086 hospitals · 1,149 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A2001 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$179
$505 typical
$1,681
The middle 50% of negotiated facility rates for this procedure, measured across 1,086 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $505 |
| Likely subtotal | $505 |
Facility charge (no separate professional fee)
$505
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $179–$1,681.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $315.90 | $157.95 | 2024-12-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $724.03 | $615.43 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $724.03 | $615.43 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $315.90 | $157.95 | 2024-12-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $80.00 | $44.80 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Cigna (EverNorth) | Behavioral Health | — | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Behavioral Health | Managed Medicaid | — | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna_ | Better_Health_Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Simply_Health | Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Community_Care | Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Molina | Medicaid | — | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Medicare Advantage | — | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | American Health | Medicare Advantage | — | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Superior Wellcare | Managed Medicaid | $31.86 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $31.88 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $31.88 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $31.88 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $31.88 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $31.88 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $31.88 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $32.14 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.14 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $32.14 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $32.14 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $32.49 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Molina | Managed Medicaid | $32.52 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $32.55 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $32.55 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Parkland | Managed Medicaid | $32.55 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $32.55 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $32.55 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Molina | Managed Medicaid | $32.78 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $32.82 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $32.82 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | United Healthcare | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $33.00 | $300.12 | $150.06 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $33.00 | $300.12 | $150.06 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Amerigroup | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $33.00 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $33.42 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $33.42 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Molina | Managed Medicaid | $33.42 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $33.48 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $33.75 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Aetna | QHP_Exchange | $34.00 | $191.17 | $76.47 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Health_First_Health_Plans,_Inc. | HMO_PPO | $34.00 | $191.17 | $76.47 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $34.00 | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Aetna | Managed Medicaid | $34.05 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.17 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Molina | Managed Medicaid | $34.44 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.66 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $34.66 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Molina | Managed Medicaid | $34.72 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $34.72 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $34.72 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $34.72 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Parkland | Managed Medicaid | $34.72 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Managed Medicaid | $35.08 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Molina | Managed Medicaid | $35.14 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $35.16 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Amerigroup | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Molina | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Parkland | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | United Healthcare | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Superior Wellcare | Managed Medicaid | $35.35 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Managed Medicaid | $35.36 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $35.60 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $35.60 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $35.60 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $35.60 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Amerigroup | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Superior Wellcare | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Parkland | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Molina | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | United Healthcare | Managed Medicaid | $35.63 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Molina | Managed Medicaid | $35.65 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Molina | Managed Medicaid | $35.65 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Aetna | Managed Medicaid | $35.80 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Centivo | PPO | $36.00 | $242.56 | $121.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Humana | HMO_PPO | — | $242.56 | $121.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | United_HealthCare | HMO_PPO | — | $242.56 | $121.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Aetna | HMO | — | $242.56 | $121.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $36.00 | $155.88 | $62.35 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $36.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Aetna | Managed Medicaid | $36.31 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Aetna | Managed Medicaid | $36.31 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Superior Wellcare | Managed Medicaid | $36.46 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Amerigroup | Managed Medicaid | $36.89 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $36.89 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Parkland | Managed Medicaid | $36.89 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | United Healthcare | Managed Medicaid | $36.89 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $37.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $37.00 | $300.12 | $150.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $37.00 | $155.88 | $62.35 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $37.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $37.00 | $300.12 | $150.06 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Cook Childrens | Managed Medicaid | $37.05 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Amerigroup | Managed Medicaid | $37.05 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $37.05 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | United Healthcare | Managed Medicaid | $37.05 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Amerigroup | Managed Medicaid | $37.34 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Cook Childrens | Managed Medicaid | $37.34 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $37.34 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | United Healthcare | Managed Medicaid | $37.34 | $247.97 | $148.79 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $37.37 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Molina | Managed Medicaid | $37.49 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Medicaid | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medicaid | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Caresource | Commercial | $37.56 | — | — | 2026-07-17 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Cigna | Surefit | $38.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Cigna_HealthCare | HMO_PPO | $38.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Cigna_HealthCare | SureFit_EPO | $38.00 | $161.36 | $64.55 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $38.00 | $130.53 | $52.21 | 2024-12-15 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MHS EXCHANGE-ALL OTHER PLANS | MHS EXCHANGE-ALL OTHER PLANS | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ANTHEM MCAID HIP | ANTHEM MCAID HIP | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | PASSPORT MCAID-ALL OTHER PLANS | PASSPORT MCAID-ALL OTHER PLANS | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MDWISE MCAID HIP | MDWISE MCAID HIP | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ANTHEM BLUE ADV | ANTHEM BLUE ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | PASSPORT MCR ADV | PASSPORT MCR ADV | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ANTHEM MEDSELECT | ANTHEM MEDSELECT | $38.22 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $38.46 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $38.59 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $38.59 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $38.59 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $38.59 | $433.58 | $260.15 | 2026-04-21 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MHS MCR ADV | MHS MCR ADV | $38.60 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Superior Wellcare | Managed Medicaid | $38.72 | $301.35 | $180.81 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Superior Wellcare | Managed Medicaid | $38.89 | $246.00 | $147.60 | 2026-04-21 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | COMMUNICARE ADV-ALL PLANS | COMMUNICARE ADV-ALL PLANS | $38.98 | $182.00 | $109.20 | 2026-07-16 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | United_HealthCare | Exchange | $39.00 | $191.17 | $76.47 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $39.00 | $126.76 | $50.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $39.00 | $171.45 | $68.58 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan | HMO_Medicaid | $39.00 | $300.12 | $150.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $39.00 | $126.76 | $50.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $39.00 | $126.76 | $50.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $39.00 | $126.76 | $50.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $39.00 | $126.76 | $50.70 | 2024-12-15 | 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.