A6196 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (CPT A6196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A6196?code_type=CPT
MLA (9th ed.)
“DME POS (CPT A6196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A6196?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DME POS (CPT A6196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A6196?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8–$19 (25th–75th percentile) across 1,131 hospitals · 2,466 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A6196 — 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
$8
$11 typical
$19
The middle 50% of negotiated facility rates for this procedure, measured across 1,131 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $11 |
| Likely subtotal | $11 |
Facility charge (no separate professional fee)
$11
- 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.08 | $80.30 | $24.09 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.08 | $80.30 | $24.09 | 2026-04-01 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.17 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.25 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.25 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $0.28 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.28 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.28 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.31 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.34 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.34 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.34 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | All Plans | $0.34 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.35 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.35 | $0.96 | $0.77 | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.41 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $0.41 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.41 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellpoint | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Health Partners | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellpoint | Managed Medicaid | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Humana Choice | Medicare Advantage | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellmark | Commercial | $0.43 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Molina Healthcare | Managed Medicaid | — | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| SURGEONS CHOICE MEDICAL CENTER Outpatient | Humana | Default | $0.44 | $1.00 | $1.00 | 2024-08-06 | MRF ↗ |
| SURGEONS CHOICE MEDICAL CENTER Outpatient | Humana | Default | $0.44 | $1.00 | $1.00 | 2024-08-06 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna Coventry | Commercial | $0.46 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.46 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Cigna | Commercial | $0.46 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.46 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Health Partners | Commercial/Self-Funded | $0.46 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.46 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Midlands Choice | Commercial | $0.46 | $0.47 | $0.47 | 2025-05-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.47 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.47 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | 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 | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.47 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.47 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.47 | $1.73 | $1.16 | 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 | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.47 | $1.73 | $1.16 | 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 | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $0.47 | $1.73 | $1.16 | 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 | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $0.47 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.49 | $24.50 | — | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.50 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $0.52 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $0.52 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.54 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $0.55 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $0.55 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.55 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $0.55 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $0.55 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $0.56 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $0.56 | — | — | 2026-05-06 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $0.56 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.57 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.57 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.57 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $0.58 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.59 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.59 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $0.59 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $0.59 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $0.59 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $0.60 | $5.76 | $3.46 | 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 | $0.60 | $1.73 | $1.16 | 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 | $0.60 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.60 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $0.60 | $1.73 | $1.16 | 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 | $0.61 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.61 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.61 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.61 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $0.61 | $1.73 | $1.16 | 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 | $0.61 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Parkland | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.62 | $7.52 | $4.52 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.62 | $7.52 | $4.52 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.62 | $7.52 | $4.52 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.62 | $7.52 | $4.52 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $0.62 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | United Healthcare | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Amerigroup | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.63 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellmark | Commercial | $0.64 | $0.70 | $0.70 | 2025-05-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Molina | Managed Medicaid | $0.64 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $0.64 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $0.64 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.65 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Aetna | Managed Medicaid | $0.65 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.65 | $7.88 | $4.73 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $0.65 | $7.88 | $4.73 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $7.88 | $4.73 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.65 | $7.88 | $4.73 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.65 | $7.52 | $4.52 | 2026-04-21 | MRF ↗ |
| SWEETWATER HOSPITAL ASSOCIATION Both | None | — | — | $7.35 | $2.50 | 2026-04-22 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $0.66 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.66 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.66 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.66 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Parkland | Managed Medicaid | $0.66 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.66 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $0.66 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $0.66 | $5.76 | $3.46 | 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.