A4264 — Intratubal Occlusion Device
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTRATUBAL OCCLUSION DEVICE (HCPCS A4264) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4264?code_type=HCPCS
MLA (9th ed.)
“INTRATUBAL OCCLUSION DEVICE (HCPCS A4264) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4264?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INTRATUBAL OCCLUSION DEVICE (HCPCS A4264) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4264?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $597–$3,515 (25th–75th percentile) across 762 hospitals · 2,085 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A4264 — 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
$597
$1,476 typical
$3,515
The middle 50% of negotiated facility rates for this procedure, measured across 762 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,476 |
| Likely subtotal | $1,476 |
Facility charge (no separate professional fee)
$1,476
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 $597–$3,515.
- 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $3,460.54 | $173.65 | 2025-01-19 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.17 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.17 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.17 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.17 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.17 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.18 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.19 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.20 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.20 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.20 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.20 | $0.62 | $0.40 | 2025-01-21 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.21 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.21 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.21 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.21 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.21 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.22 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.23 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.62 | $0.40 | 2025-01-31 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM MARKETPLACE | ANTHEM MARKETPLACE | $0.25 | $4,386.90 | $3,070.83 | 2026-04-21 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM PPO | ANTHEM PPO | $0.25 | $4,386.90 | $3,070.83 | 2026-04-21 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM HMO | ANTHEM HMO | $0.25 | $4,386.90 | $3,070.83 | 2026-04-21 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $0.26 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $0.26 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Heritage Provider Network | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Kaiser | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Optum Healthcare | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Kaiser | Medical | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Facey | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Keenan | Keenan | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Private Healthcare | Phcs | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Facey | Commercial Hmo | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Heritage Provider Network | Medi Cal | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Health Net | Hmo Ppo Exchange | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Health Net | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Optum Healthcare | Commercial | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Cigna Behavioral Health | Evernorth | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Aetna | Hmo Ppo | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Heritage Provider Network | Commercial | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | United Healthcare | Non Select | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Anthem | Hmo Ppo | $0.33 | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Cigna | Hmo Oap | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Anthem | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Providence Health | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Blue Shield | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Humana | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Multiplan | Multiplan | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Outpatient | Health Net | Enhanced Ppo | — | $7,583.65 | $7,583.65 | 2026-08-01 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.34 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | UPMC MMO [485245] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.39 | $0.62 | $0.40 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.40 | $0.62 | $0.40 | 2025-01-22 | 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.