L0637 — Lso Sc R Ant/pos Pnl Pre Cst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lso sc r ant/pos pnl pre cst (HCPCS L0637) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0637?code_type=HCPCS
MLA (9th ed.)
“Lso sc r ant/pos pnl pre cst (HCPCS L0637) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0637?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Lso sc r ant/pos pnl pre cst (HCPCS L0637) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0637?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $761–$2,408 (25th–75th percentile) across 1,207 hospitals · 3,309 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L0637 — 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
$761
$1,522 typical
$2,408
The middle 50% of negotiated facility rates for this procedure, measured across 1,207 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,522 |
| Likely subtotal | $1,522 |
Facility charge (no separate professional fee)
$1,522
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,356.80 | $1,678.40 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,356.80 | $1,678.40 | 2024-12-15 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $3,253.50 | $1,789.43 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $3,253.50 | $1,789.43 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $2,462.00 | $2,018.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,462.00 | $2,018.84 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.52 | $844.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.52 | $844.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.57 | $871.00 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.81 | $1,562.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.81 | $1,562.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.88 | $1,600.00 | — | 2025-12-31 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $3.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $3.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA CONTRACTED [320193] | HB JOPL HUMANA COMMERCIAL | $3.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL/CTHG DEC JOPLIN SUPPLY CO | $4.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICA CONTRACTED [320239] | HB JOPL/SEKS MEDICA EXCHANGE | $4.37 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA CONTRACTED [320008] | HB JOPL AETNA COMMERCIAL | $4.44 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA [20008] | HB JOPL AETNA COMMERCIAL | $4.44 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | NOVASYS CONTRACTED [320285] | HB JOPL AMBETTER EXCHANGE MO | $4.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB JOPL AMBETTER EXCHANGE MO | $4.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB JOPL AMBETTER EXCHANGE MO | $4.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AMBETTER CONTRACTED [320452] | HB JOPL AMBETTER EXCHANGE MO | $4.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB JOPL DEC OZARK COMMUNITY HOSPITAL | $5.16 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH SYSTEMS INC CONTRACTED [320174] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $5.16 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $5.16 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC GENERIC ANTHEM [20456] | HB JOPL ANTHEM BLUE ACCESS | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB JOPL AMISH | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM PATHWAYS EXCHANGE | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM BLUE ACCESS | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM ALLIANCE | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC ANTHEM [20455] | HB JOPL ANTHEM ALLIANCE | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC ANTHEM [20455] | HB JOPL ANTHEM BLUE ACCESS | $5.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL CITY OF SPRINGFIELD | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL MO STATE UNIVERSITY | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $6.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL S & H FARMS | $6.84 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $6.84 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $6.84 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON NEW 1.1.25 | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $7.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $2,462.00 | $2,018.84 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB JOPL NETWORK AFFLIATION | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB JOPL NETWORK AFFLIATION | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB JOPL BEARSKIN HEALTH AND WELLNESS | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | $7.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB JOPL AETNA FIRST HEALTH-NETWORK ACCESS | $8.26 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB JOPL SEKS AMERICAN HEALTHCARE ALLIANCE | $8.40 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL BLUE PREFERRED | $8.75 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB JOPL PHCS (MPI) | $9.24 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB JOPL PHCS (MPI) | $9.24 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | USABLE CONTRACTED [320409] | HB JOPL PHCS (MPI) | $9.24 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C [20238] | HB JOPL SRC | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL SCURLOCK INDUSTRIES | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL GENERIC WORK COMP | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL TRAILINER | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL SRC | $9.60 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL CORVEL WORK COMP | $10.20 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | USA MANAGED CARE ORG CONTRACTED [320429] | HB JOPL USA MANAGED CARE ORGANIZATION | $10.56 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.65 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PPO PLUS CONTRACTED [320310] | HB JOPL ARKANSAS MANAGED CARE ORGANIZATION | $10.80 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.93 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.21 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL ALIGN NETWORK WORK COMP | $12.00 | $12.00 | $7.80 | 2026-03-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.45 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.45 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.02 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.30 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.58 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $15.14 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $21.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $21.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $21.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $21.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $22.53 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $23.18 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $23.26 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $23.26 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $23.26 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $23.26 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $23.60 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $24.44 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $24.47 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.72 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.72 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $24.83 | $382.00 | $248.30 | 2026-03-12 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $25.04 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $25.04 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $25.04 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $25.04 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $25.12 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $25.59 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $25.69 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $25.69 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $25.69 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $26.29 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $26.35 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $26.43 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $26.43 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $26.43 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $26.84 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $26.84 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $26.84 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $26.84 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $26.92 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $27.05 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $27.65 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $27.65 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $28.18 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $28.23 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $28.23 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28.23 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $28.23 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Parkland | Managed Medicaid | $28.23 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $28.33 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $28.33 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $28.33 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $28.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $28.46 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Amerigroup | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | United Healthcare | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28.62 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $1,696.00 | $1,272.00 | 2024-12-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Molina | Managed Medicaid | $28.99 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $28.99 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $28.99 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Medicare Advantage | — | $149.00 | $126.65 | 2026-02-12 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Aetna | Managed Medicaid | $29.54 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Superior Wellcare | Managed Medicaid | $29.64 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $30.06 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $30.06 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Parkland | Managed Medicaid | $30.11 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $30.11 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $30.11 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $30.11 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Molina | Managed Medicaid | $30.48 | $261.38 | $156.83 | 2026-04-21 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $30.84 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $30.84 | — | — | 2026-03-18 | 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.