L8604 — Dextranomer/hyaluronic Acid
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DEXTRANOMER/HYALURONIC ACID (CPT L8604) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L8604?code_type=CPT
MLA (9th ed.)
“DEXTRANOMER/HYALURONIC ACID (CPT L8604) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L8604?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DEXTRANOMER/HYALURONIC ACID (CPT L8604) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L8604?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,522–$7,012 (25th–75th percentile) across 390 hospitals · 467 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L8604 — 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
$1,522
$4,002 typical
$7,012
The middle 50% of negotiated facility rates for this procedure, measured across 390 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,002 |
| Likely subtotal | $4,002 |
Facility charge (no separate professional fee)
$4,002
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 $1,522–$7,012.
- 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 |
|---|---|---|---|---|---|---|---|
| TRI-CITY MEDICAL CENTER Inpatient | Cigna | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $18,644.60 | $9,322.30 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $18,644.60 | $9,322.30 | 2024-12-15 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | ELAP | Commercial|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | ELAP | Commercial|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicaid|NE Total Care | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | ELAP | Commercial|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | ELAP | Commercial|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $0.03 | $0.05 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | ELAP | Commercial|All Plans | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Inpatient | QuikTrip | Commercial|All Plans | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | One World | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Timpte | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Millard Public Schools | Commercial|Narrow Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Millard Public Schools | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Greater Omaha Packing | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | United | Medicaid|Community Plan | $0.03 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.03 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | One World | Commercial|Broad Network | $0.03 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Midlands Choice | Commercial|Premier | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Inpatient | PHCS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Medica | Commercial|Open Access | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | United | Medicaid|Community Plan | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | PHCS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Midlands Choice | Commercial|Standard | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Midlands Choice | Commercial|Standard | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Medica | Commercial|Open Access | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | AMPS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.04 | $0.08 | $0.07 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.04 | $0.08 | $0.04 | 2025-09-30 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Midlands Choice | Commercial|Standard | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Midlands Choice | Commercial|Premier | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Inpatient | PHCS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Medica | Commercial|Open Access | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Midlands Choice | Commercial|Standard | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Midlands Choice | Commercial|Premier | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Medica | Commercial|Open Access | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Inpatient | PHCS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2025-09-30 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Midlands Choice | Commercial|Premier | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| GARRISON MEMORIAL HOSPITAL Outpatient | United | Medicare|All Plans | $0.04 | $0.08 | $0.06 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | ELAP | Commercial|All Plans | $0.04 | $0.08 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Medica | Commercial|Open Access | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Midlands Choice | Commercial|Premier | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Inpatient | PHCS | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | 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.