L0484 — Tlso, Triplanar Control, Two Piece Rigid Plastic Shell Without Interface Liner, With Multiple Straps And Closures, Posterior Extends From Sacrococcygeal Junction And Terminates Just Inferior To Scapul
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul (HCPCS L0484) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0484?code_type=HCPCS
MLA (9th ed.)
“Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul (HCPCS L0484) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0484?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul (HCPCS L0484) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0484?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,094–$3,293 (25th–75th percentile) across 1,272 hospitals · 1,649 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0484 — 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
$2,094
$2,351 typical
$3,293
The middle 50% of negotiated facility rates for this procedure, measured across 1,272 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,351 |
| Likely subtotal | $2,351 |
Facility charge (no separate professional fee)
$2,351
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 $2,094–$3,293.
- 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.63 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.63 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.63 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.63 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.63 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | MCDSTAR | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARHealth | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | CHIP | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARPLUS | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARKids | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | CHIP | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARKids | $0.91 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | Medicaid | $1.00 | $3,299.00 | $2,144.35 | 2026-06-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,429.90 | $4,179.43 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,429.90 | $4,179.43 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAMUEL MAHELONA MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | Medicaid | $1.00 | $3,299.00 | $2,144.35 | 2026-06-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $1.22 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $1.26 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARPLUS | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARKids | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | CHIP | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | MCDSTAR | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARPLUS | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | CHIP | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARHealth | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARHealth | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARKids | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | MCDSTAR | $1.54 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARKids | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | CHIP | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | IFP | $1.75 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | CHIP | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARKids | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | CHIP | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARKids | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | IFP | $1.75 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $1.79 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | QHP | $1.82 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | QHP | $1.82 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $2.16 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | MyBlueHealth | $2.22 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | BlueAdvantageHMO | $2.22 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | United | OptionsPPO | $2.29 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | United | OptionsPPO | $2.29 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | LocalPlus | $2.38 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | NewBusiness | $2.38 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | NetworkBenefit | $2.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | HMO | $2.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | OpenAccessPlus | $2.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $2.72 | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $2.72 | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $2.72 | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $2.72 | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $2.77 | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $2.77 | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $2.80 | $1,845.00 | $608.85 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $2.80 | $1,845.00 | $608.85 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | BlueEssentialsAccess | $2.87 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | BlueEssentials | $2.87 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Cigna | IFP | $2.97 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $6,429.90 | $4,179.43 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,429.90 | $4,179.43 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Cigna | IFP | $2.97 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | EPOSOA | $3.02 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $3.04 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Cigna | QHP | $3.08 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Cigna | QHP | $3.08 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | PPO | $3.15 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueAdvantageHMO | $3.21 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | MyBlueHealth | $3.21 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | MyBlueHealth | $3.21 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | BlueAdvantageHMO | $3.21 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Unicare | CHIP | $3.25 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Unicare | CHIP | $3.25 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | AllOther | $3.36 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Cigna | IFP | $3.38 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Cigna | IFP | $3.38 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Cigna | IFP | $3.38 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Cigna | IFP | $3.38 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | IFP | $3.38 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | LocalPlus | $3.43 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | NewBusiness | $3.43 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | LocalPlus | $3.43 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | NewBusiness | $3.43 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Cigna | QHP | $3.50 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Cigna | QHP | $3.50 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Cigna | QHP | $3.50 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Cigna | QHP | $3.50 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Cigna | QHP | $3.50 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | OpenAccessPlus | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | NetworkBenefit | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | HMO | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | NetworkBenefit | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | HMO | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | OpenAccessPlus | $3.83 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $4.00 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $4.05 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | United | OptionsPPO | $4.14 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueEssentials | $4.15 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | BlueEssentialsAccess | $4.15 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | BlueEssentials | $4.15 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | BlueEssentialsAccess | $4.15 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Unicare | CHIP | $4.18 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | EPOSOA | $4.36 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | EPOSOA | $4.36 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Healthcare Highways | CityofPlano | $4.39 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Healthcare Highways | CityofPlano | $4.39 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | United | OptionsPPO | $4.45 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $4.50 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | PPO | $4.55 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | PPO | $4.55 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $4.74 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | United | OptionsPPO | $4.80 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Cigna | AllOther | $4.85 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Cigna | AllOther | $4.85 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $4.95 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $4.95 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $4.95 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $4.95 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $5.22 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Unicare | CHIP | $5.25 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | United | OptionsPPO | $5.30 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $5.40 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | BCBS | MyBlueHealth | $5.43 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | BlueAdvantageHMO | $5.43 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | BCBS | BlueAdvantageHMO | $5.43 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | United | OptionsPPO | $5.53 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | United | OptionsPPO | $5.67 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | United | OptionsPPO | $5.67 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | BCBS | Traditional | $5.77 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | BCBS | Traditional | $5.77 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Cigna | NewBusiness | $5.81 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Cigna | LocalPlus | $5.81 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Cigna | NewBusiness | $5.81 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Cigna | LocalPlus | $5.81 | $22.00 | $22.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | City of McKinney | COMM | $5.85 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | City of McKinney | COMM | $5.85 | $13.00 | $13.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | BCBS | MyBlueHealth | $6.17 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | BCBS | BlueAdvantageHMO | $6.17 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | BCBS | MyBlueHealth | $6.17 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | BCBS | MyBlueHealth | $6.17 | $25.00 | $25.00 | 2026-03-01 | 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.