A6196 — Alginate Or Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. Or Less, Each Dressing
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS A6196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A6196?code_type=HCPCS
MLA (9th ed.)
“Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS A6196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A6196?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS A6196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A6196?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$13 (25th–75th percentile) across 1,335 hospitals · 2,577 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$4
$8 typical
$13
The middle 50% of negotiated facility rates for this procedure, measured across 1,335 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $8 |
| Likely subtotal | $8 |
Facility charge (no separate professional fee)
$8
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 $4–$13.
- 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 | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $34.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $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 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.08 | $80.30 | $24.09 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.08 | $80.30 | $24.09 | 2026-07-01 | 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 | Humana Advantage Care Plans Med Advantage | All Plans | $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 | 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 | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.87 | $0.57 | 2025-01-22 | 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 ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $0.24 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.25 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $0.25 | $0.69 | $0.55 | 2026-03-31 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.25 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | CARESOURCE MANAGED MEDICARE [254] | CARESOURCE ADVANTAGE [254300] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MOLINA MANAGED MEDICARE [264] | MOLINA MEDICARE COMPLETE/CHOICE CARE [264300] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MOLINA MANAGED MEDICARE [264] | MOLINA DUAL OPTIONS MYCAREOHIO [264305] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $0.27 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MOLINA MANAGED MEDICARE [264] | MOLINA MEDICARE COMPLETE/CHOICE CARE [264300] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | BUCKEYE MANAGED MEDICARE [285] | ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | CARESOURCE MANAGED MEDICARE [254] | CARESOURCE ADVANTAGE [254300] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MOLINA MANAGED MEDICARE [264] | MOLINA DUAL OPTIONS MYCAREOHIO [264305] | $0.28 | $0.87 | $0.57 | 2025-01-21 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $0.29 | $12.00 | — | 2026-08-17 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.30 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.30 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.30 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.30 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.30 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.31 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $0.32 | $12.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $0.34 | $12.00 | — | 2026-08-17 | 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 | 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 | Wellcare Health Plan Inc MCR Adv | Default | $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 ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $0.38 | $12.00 | — | 2026-08-17 | 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 ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.46 | $0.48 | $0.38 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Both | United Healthcare | Default | $0.46 | $0.48 | $0.38 | 2026-03-31 | 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 NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $0.47 | $1.73 | $1.16 | 2026-03-05 | 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 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 Star 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 ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $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 CHIP/First Care Star Plus | $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 ↗ |
| 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 NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $0.47 | $1.73 | $1.16 | 2026-03-05 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | 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 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 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 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 HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $0.47 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.48 | $0.87 | $0.57 | 2025-01-22 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $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 BEACON HEALTH | $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 | MEDICAID | MISC MEDICAID GET NAME | $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 ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $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 ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.51 | $1.85 | $1.20 | 2025-01-22 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.51 | $1.85 | $1.20 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.51 | $1.85 | $1.20 | 2025-01-22 | 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 | United Healthcare | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.51 | $1.85 | $1.20 | 2025-01-22 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.51 | $1.85 | $1.20 | 2025-01-22 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $0.51 | $5.76 | $3.46 | 2026-04-21 | 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 | 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 | 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 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 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 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 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 CHIP/STAR Kids | $0.52 | $1.73 | $1.16 | 2026-03-05 | 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.