A6154 — Wound Pouch, Each
Cite this view
HANK Price Transparency. (n.d.). Wound pouch, each (HCPCS A6154) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A6154?code_type=HCPCS
“Wound pouch, each (HCPCS A6154) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A6154?code_type=HCPCS. Accessed .
“Wound pouch, each (HCPCS A6154) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A6154?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12–$38 (25th–75th percentile) across 960 hospitals · 1,674 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A6154 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 960 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $20 |
| Likely subtotal | $20 |
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 $12–$38.
- 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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.40 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.40 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.40 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.41 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.41 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.41 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.41 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.43 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.44 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.44 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.44 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.44 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.44 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $0.45 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.46 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $0.47 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $0.47 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.47 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $0.47 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $0.48 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $0.48 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.49 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.49 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.49 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.50 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $0.51 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.52 | $1.91 | $1.28 | 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 | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.52 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.52 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.52 | $1.91 | $1.28 | 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 | $0.52 | $1.91 | $1.28 | 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 | $0.52 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.53 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.53 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Parkland | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.53 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $0.53 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.53 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Aetna | CHIP/Medicaid | $0.54 | $3.00 | $1.80 | 2026-03-06 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | United Healthcare | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Amerigroup | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $0.54 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $0.55 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Molina | Managed Medicaid | $0.55 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $0.55 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.56 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Aetna | Managed Medicaid | $0.56 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.56 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.57 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.57 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.57 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.57 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.57 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Parkland | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.57 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.57 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $0.58 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Molina | Managed Medicaid | $0.58 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Molina | Managed Medicaid | $0.59 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Molina | Managed Medicaid | $0.59 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Aetna | Managed Medicaid | $0.59 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Aetna | Managed Medicaid | $0.60 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.60 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $0.60 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Aetna | Managed Medicaid | $0.60 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | United Healthcare | Managed Medicaid | $0.61 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Amerigroup | Managed Medicaid | $0.61 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.61 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Parkland | Managed Medicaid | $0.61 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $0.62 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $0.62 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Molina | Managed Medicaid | $0.62 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.62 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $0.62 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $0.62 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.63 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.63 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $0.63 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.63 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.64 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $0.64 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $0.64 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.64 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $0.64 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Molina | Managed Medicaid | $0.65 | $4.95 | $2.97 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.65 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $0.66 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $0.66 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.66 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.66 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $0.66 | $6.44 | $3.87 | 2026-04-21 | 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 | $0.67 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $0.67 | $6.44 | $3.87 | 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 | $0.67 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.67 | $4.95 | $2.97 | 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 | $0.67 | $1.91 | $1.28 | 2026-03-05 | 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 | $0.67 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.68 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.68 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.68 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.68 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.68 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.68 | $1.91 | $1.28 | 2026-03-05 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | AvMed | HIX | $0.68 | $7.53 | $7.53 | 2024-10-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.69 | $6.44 | $3.87 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Molina | Managed Medicaid | $0.69 | $4.95 | $2.97 | 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.