A4628 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS A4628) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4628?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS A4628) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4628?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS A4628) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4628?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$8 (25th–75th percentile) across 713 hospitals · 1,158 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A4628 — 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
$5
$5 typical
$8
The middle 50% of negotiated facility rates for this procedure, measured across 713 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5 |
| Likely subtotal | $5 |
Facility charge (no separate professional fee)
$5
- 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $0.08 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.09 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.09 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.09 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.09 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.09 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.09 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.09 | — | — | 2026-03-18 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.09 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.09 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | American Health | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | HealthSpring | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | HealthSpring | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.10 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.10 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.10 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.10 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | HealthSpring | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Humana | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | American Health | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.11 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | American Health | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.11 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.11 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.11 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.11 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.11 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.11 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $0.11 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $0.12 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Humana | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Medicare Advantage HMO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Medicare Advantage PPO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $0.12 | $1.22 | $0.74 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $0.12 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| Texas Children's Hospital West Campus InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $0.12 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Medicare Advantage HMO | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | $0.12 | $0.30 | $0.20 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | HealthSpring | Medicare Advantage | — | $1.08 | $0.65 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.12 | $1.08 | $0.65 | 2026-04-21 | 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.