C9003 — Synagis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Synagis (HCPCS C9003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9003?code_type=HCPCS
MLA (9th ed.)
“Synagis (HCPCS C9003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9003?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Synagis (HCPCS C9003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9003?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,058–$5,716 (25th–75th percentile) across 32 hospitals · 92 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C9003 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Ambetter | Hmo | $130.00 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Alliant Health Plans | Default | $140.00 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | IN CUSTODY | In Custody | $200.00 | — | — | 2024-12-19 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PASSPORT HP HMO - ALL PLANS | PASSPORT HP HMO - ALL PLANS | $435.85 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $737.54 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $737.54 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $737.54 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $737.54 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $737.54 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $737.54 | — | — | 2026-03-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $752.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $752.59 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $766.31 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Cigna | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Cigna | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Cigna | Commercial | $779.18 | — | — | 2026-04-17 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $791.37 | — | — | 2026-02-02 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $820.33 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $820.33 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $820.33 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $820.33 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $820.33 | — | — | 2026-04-01 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PASSPORT HP HMO - ALL PLANS | PASSPORT HP HMO - ALL PLANS | $822.96 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $864.72 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $864.72 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $901.54 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $901.54 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $901.54 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $901.54 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $901.54 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $901.54 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $901.54 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $901.54 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $928.59 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $928.59 | — | — | 2026-04-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $949.85 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $949.85 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $949.85 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $949.85 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Blue Cross | Commercial | — | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Blue Cross | Medicare | $1,058.22 | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Uhc | Medicare | $1,058.22 | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Amerigroup | Medicare | $1,058.22 | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Aetna | Medicare | $1,058.22 | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Humana | Medicare | $1,058.22 | $2,074.95 | $1,659.96 | 2026-05-23 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH | ANTHEM BLUE PATH | $1,097.69 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH HPN | ANTHEM BLUE PATH HPN | $1,113.83 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $1,210.69 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF | ANTHEM BLUE PREF | $1,210.69 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE ACCESS | ANTHEM BLUE ACCESS | $1,210.69 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $1,210.69 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | HUMANA COMM-ALL OTHER PLANS | HUMANA COMM-ALL OTHER PLANS | $1,277.84 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1,372.11 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PRIME HEALTH SERVICES-ALL PLANS | PRIME HEALTH SERVICES-ALL PLANS | $1,372.11 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | INTEGRATED HP-ALL PLANS | INTEGRATED HP-ALL PLANS | $1,436.68 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CORVEL - ALL PLANS | CORVEL - ALL PLANS | $1,452.83 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1,533.54 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1,565.82 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | WELLCARE MEDICAID | WELLCARE MEDICAID | $1,614.25 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MOLINA MCAID | MOLINA MCAID | $1,614.25 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | UHC MEDICAID | UHC MEDICAID | $1,614.25 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $1,614.25 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | COVENTRY MCAID-ALL PLANS | COVENTRY MCAID-ALL PLANS | $1,614.25 | $1,614.25 | $1,226.83 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH | ANTHEM BLUE PATH | $2,072.64 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH HPN | ANTHEM BLUE PATH HPN | $2,103.12 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $2,286.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF | ANTHEM BLUE PREF | $2,286.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $2,286.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE ACCESS | ANTHEM BLUE ACCESS | $2,286.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | HUMANA COMM-ALL OTHER PLANS | HUMANA COMM-ALL OTHER PLANS | $2,412.80 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $2,590.80 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PRIME HEALTH SERVICES-ALL PLANS | PRIME HEALTH SERVICES-ALL PLANS | $2,590.80 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | INTEGRATED HP-ALL PLANS | INTEGRATED HP-ALL PLANS | $2,712.72 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CORVEL - ALL PLANS | CORVEL - ALL PLANS | $2,743.20 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | MyBlueHealth | $2,830.55 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $2,895.60 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2,956.56 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | UHC MEDICAID | UHC MEDICAID | $3,048.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MOLINA MCAID | MOLINA MCAID | $3,048.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $3,048.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | WELLCARE MEDICAID | WELLCARE MEDICAID | $3,048.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | COVENTRY MCAID-ALL PLANS | COVENTRY MCAID-ALL PLANS | $3,048.00 | $3,048.00 | $2,316.48 | 2026-03-09 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterEPO | $3,229.49 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | ValueHMO | $3,229.49 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterHMO | $3,229.49 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueAdvantage | $3,324.47 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $3,596.79 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $4,039.20 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $4,039.20 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $4,039.20 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $4,039.20 | $4,752.00 | $4,039.20 | 2026-07-15 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | United | OptionsPPO | $4,730.25 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentials | $5,186.18 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentialsAccess | $5,186.18 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | EPOSOA | $5,623.11 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | IMO Med - Select Network | WC | $5,699.10 | $18,997.00 | $18,997.00 | 2026-03-01 | MRF ↗ |
| WILSON N JONES REGIONAL MEDICAL CENTER Both | Cigna | Ppo | $5,703.72 | $14,259.30 | $4,277.79 | 2026-07-15 | MRF ↗ |
| WILSON N JONES REGIONAL MEDICAL CENTER Both | Cigna | Ppo | $5,703.72 | $14,259.30 | $4,277.79 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Loren Cook | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Merril Iron And Steel | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Mihlfeld & Associates | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Mirma Health | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Ozark County | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Parkcrest Dental Group | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Show Me Benefit Consortium | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Springfieldgreene Co Library | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Src Holdings Corporation | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Texas Co Memorial Hospital | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | The Durham Company | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Town And Country Super Market | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Blu Current Credit Union | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Direct Contracted Employers | Generic | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Other Contracted Managed Care | Generic | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare / Medicare Advantage | Generic | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Pathway/Pathway X | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Blue Access | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Medicare Advantage | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Blue Traditional | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Blue Preferred | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | First Health | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | United Healthcare | Medicaid | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | United Healthcare | Va Ccn | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | United Healthcare | Medicare | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | United Healthcare | All Payer | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | United Healthcare | Core Payer | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Cigna | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Multiplan | Commercial | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Humana | Medicare Advantage | — | $5,716.48 | $1,440.55 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Town And Country Super Market | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Blu Current Credit Union | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Other Contracted Managed Care | Generic | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Preferred | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Access | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | First Health | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicare | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cigna | Commercial Test | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Multiplan | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicaid | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicare | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Corvel | Workers Compensation | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Workers Compensation | Workers Compensation | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Healthy Blue Mo | Medicaid Managed Care | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare Advantage | Non Contracted Payors | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Wellcare | Medicare Advantage | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Aca Marketplace | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Bjc Consortium | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Employee Plan | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Ppo | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Medicare Advantage | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Amprod | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $5,716.48 | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Home State Health | Medicaid | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Freeman Pho | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Eye Institute | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $5,716.48 | $1,743.53 | 2026-07-15 | 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.