L4360 — Hc Shell L4360, Pneumat Walking Boot Pre Cst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Shell L4360, Pneumat Walking Boot Pre Cst (HCPCS L4360) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L4360?code_type=HCPCS
MLA (9th ed.)
“HC Shell L4360, Pneumat Walking Boot Pre Cst (HCPCS L4360) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L4360?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HC Shell L4360, Pneumat Walking Boot Pre Cst (HCPCS L4360) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L4360?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $82–$356 (25th–75th percentile) across 1,580 hospitals · 4,562 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L4360 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $721.45 | $360.72 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $721.45 | $360.72 | 2024-12-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.50 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.57 | $56.00 | $36.40 | 2026-03-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.58 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.58 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.64 | $354.00 | — | 2024-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.65 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.65 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.66 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.66 | $365.00 | — | 2025-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.70 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.72 | $71.00 | $46.15 | 2026-03-14 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.72 | $402.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.74 | $412.00 | — | 2025-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.84 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.84 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.85 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.85 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.87 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.91 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.94 | $174.49 | $165.77 | 2026-02-20 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $1.00 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $696.75 | $571.33 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,140.00 | $934.80 | 2025-11-26 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $697.00 | $571.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $697.00 | $571.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $697.00 | $571.54 | 2025-11-26 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,140.00 | $934.80 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $697.00 | $571.54 | 2025-11-26 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $1.00 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $696.75 | $571.33 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.58 | $155.00 | $100.75 | 2026-03-14 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | United Healthcare | Default | $1.72 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | United Healthcare | Default | $1.72 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.92 | $188.00 | $122.20 | 2026-03-14 | MRF ↗ |
| MCBRIDE ORTHOPEDIC HOSPITAL Outpatient | Cigna | Commercial | $2.00 | $4.00 | $4.00 | 2025-02-06 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $2.28 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $2.28 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.47 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.47 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.47 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Amerigroup Mcr Adv Multi State | Default | $2.60 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Wellcare Of Texas | Default | $2.60 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicare A Tx And Indian Health Services Jh | Default | $2.60 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Amerigroup Mcr Adv Multi State | Default | $2.60 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicare A Tx And Indian Health Services Jh | Default | $2.60 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Wellcare Of Texas | Default | $2.60 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Community Plan Tx | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicaid Texas | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Firstcare Star Medicaid | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan Mcd Rep | Default | $2.65 | $2.65 | $2.65 | 2026-05-22 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Community Plan Tx | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan Mcd Rep | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Firstcare Star Medicaid | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicaid Texas | Default | $2.65 | $2.65 | $2.65 | 2026-05-17 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MCBRIDE ORTHOPEDIC HOSPITAL Outpatient | Cigna | Commercial | $3.00 | $5.00 | $5.00 | 2025-02-06 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.90 | $60.00 | $39.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.90 | $60.00 | $39.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.90 | $60.00 | $39.00 | 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 | $3.90 | $60.00 | $39.00 | 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 | $3.90 | $60.00 | $39.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.90 | $60.00 | $39.00 | 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 | $4.49 | $69.00 | $44.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.49 | $69.00 | $44.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.49 | $69.00 | $44.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.49 | $69.00 | $44.85 | 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 | $4.49 | $69.00 | $44.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.49 | $69.00 | $44.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.55 | $70.00 | $45.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.55 | $70.00 | $45.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.55 | $70.00 | $45.50 | 2026-03-12 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | $4.66 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.68 | $72.00 | $46.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.68 | $72.00 | $46.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.68 | $72.00 | $46.80 | 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 | $4.68 | $72.00 | $46.80 | 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 | $4.68 | $72.00 | $46.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.68 | $72.00 | $46.80 | 2026-03-12 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Carolina Complete | Medicaid Managed Care | $4.71 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Health Blue | Medicaid Managed Care | $4.71 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Partners | Medicaid Tailored Plan | $4.71 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Medicaid Managed Care | $4.71 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Vaya | Medicaid Tailored Plan | $4.75 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Wellcare | Medicaid Managed Care | $4.77 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | Medicaid Managed Care | $4.77 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Alliance | Medicaid Tailored Plan | $4.80 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.81 | $74.00 | $48.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.81 | $74.00 | $48.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.81 | $74.00 | $48.10 | 2026-03-12 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Trillium | Medicaid Tailored Plan | $4.85 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.88 | $75.00 | $48.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.88 | $75.00 | $48.75 | 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 | $4.88 | $75.00 | $48.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.88 | $75.00 | $48.75 | 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 | $4.88 | $75.00 | $48.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.88 | $75.00 | $48.75 | 2026-03-12 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | HPN | $5.24 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.27 | $81.00 | $52.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.27 | $81.00 | $52.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.27 | $81.00 | $52.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.27 | $81.00 | $52.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.27 | $81.00 | $52.65 | 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 | $5.27 | $81.00 | $52.65 | 2026-03-12 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $5.29 | $264.50 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.46 | $84.00 | $54.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.46 | $84.00 | $54.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.46 | $84.00 | $54.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.46 | $84.00 | $54.60 | 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 | $5.46 | $84.00 | $54.60 | 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 | $5.46 | $84.00 | $54.60 | 2026-03-12 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | IVL Exchange | $5.52 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Managed Care | $5.61 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Ambetter | Managed Care | $5.62 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.66 | $87.00 | $56.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.66 | $87.00 | $56.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.66 | $87.00 | $56.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.66 | $87.00 | $56.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.66 | $87.00 | $56.55 | 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 | $5.66 | $87.00 | $56.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $5.70 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $5.70 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $5.70 | $38.00 | $24.70 | 2026-03-12 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | IEX Individual Managed Care | $5.70 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | Managed Care | $5.81 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Value | $5.91 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.92 | $91.00 | $59.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $5.92 | $91.00 | $59.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5.92 | $91.00 | $59.15 | 2026-03-12 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | $5.95 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | MedCost | Ultra Managed Care | $6.02 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna Whole Health | Managed Care | $6.10 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $6.11 | $94.00 | $61.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.11 | $94.00 | $61.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.11 | $94.00 | $61.10 | 2026-03-12 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $6.24 | $17.57 | $11.95 | 2026-01-24 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Oscar | Managed Care | $6.25 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.32 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.32 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.32 | — | — | 2026-03-18 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna | Managed Care (Pediatrics) | $6.37 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | Employee Managed Care | $6.37 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $6.60 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Managed Care | $6.68 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $6.79 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $6.82 | $17.57 | $11.95 | 2026-01-24 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | MBS Managed Care | $6.89 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCARE ADV | MEDICA MCARE ADV | $7.03 | $17.57 | $11.95 | 2026-01-24 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MSHO | MEDICA MSHO | $7.03 | $17.57 | $11.95 | 2026-01-24 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | BCBS MCARE ADV | BCBS MCARE ADV | $7.03 | $17.57 | $11.95 | 2026-01-24 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $7.10 | $71.00 | $46.15 | 2026-03-13 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.25 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.25 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.25 | — | — | 2026-03-18 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna | Managed Care (Adult) | $7.29 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.35 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.35 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $7.35 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | Ultra Managed Care | $7.54 | $20.82 | $10.41 | 2025-10-21 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.61 | $117.00 | $76.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.61 | $117.00 | $76.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.61 | $117.00 | $76.05 | 2026-03-12 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $7.63 | $109.00 | $109.00 | 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.