L8610 — Hc Shell, L8610, Ocular Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Shell, L8610, Ocular Implant (CPT L8610) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L8610?code_type=CPT
MLA (9th ed.)
“HC Shell, L8610, Ocular Implant (CPT L8610) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L8610?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC Shell, L8610, Ocular Implant (CPT L8610) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L8610?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $183–$1,200 (25th–75th percentile) across 1,271 hospitals · 3,430 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L8610 — 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,018.60 | $1,509.30 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,018.60 | $1,509.30 | 2024-12-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $3,456.18 | $2,419.33 | 2025-01-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.04 | $22.32 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.12 | $66.96 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.12 | $64.48 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.24 | $131.44 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.28 | $156.24 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.29 | $158.72 | — | 2024-12-31 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | HMO | $1.04 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.40 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.66 | $920.77 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.66 | $920.77 | — | 2024-12-31 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | PPO | $2.08 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $2.20 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $2.20 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care Star MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care Star MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | First Care Health Plan | First Care CHIP/First Care Star Plus | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | First Care Health Plan | First Care Star MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare MCD | United Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCD | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | United Healthcare CHIP | United Healthcare CHIP | $2.21 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.31 | $1,283.25 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.31 | $1,283.25 | — | 2024-12-31 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO EXCHANGE | $2.40 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.42 | $12.10 | — | 2025-09-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll CHIP/STAR Kids | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Molina MCD | Molina CHIP/Molina Star MCD/Molina Star Plus MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Driscoll Children's Health Plan MCD | Driscoll Star MCD | $2.46 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.47 | $1,373.52 | — | 2025-12-31 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $2.50 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $2.50 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $2.50 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $2.50 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $2.87 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $2.87 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $2.87 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Blue Cross Blue Shield MCD | BCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCD | $2.87 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $2.89 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $2.89 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $2.89 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Community Health Choice | Community HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIP | $2.89 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $2.92 | $14.59 | — | 2025-09-05 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Molina | Managed Medicaid | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Molina | Managed Medicaid | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO-PPO-PAR | $3.00 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Managed Medicaid | $3.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.03 | $12.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.03 | $12.10 | — | 2025-09-05 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $3.05 | $22.32 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.24 | $22.32 | — | 2024-12-31 | MRF ↗ |
| Texas Children's Hospital West Campus InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS OutpatientFacility | Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL InpatientFacility | Cook Children's Health Plan | Cook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| TEXAS CHILDRENS HOSPITAL OutpatientFacility | Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| Texas Children's Hospital West Campus OutpatientFacility | Community First Health Plan MCD | Community First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCD | $3.28 | $8.20 | $5.49 | 2026-03-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $3.33 | $16.66 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $3.33 | $16.66 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $3.33 | $16.66 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $3.33 | $16.66 | — | 2025-09-05 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3.46 | $22.32 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $3.46 | $22.32 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.55 | $1,971.60 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.55 | $1,971.60 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.55 | $1,971.60 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $3.59 | $22.32 | — | 2024-12-31 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.65 | $14.59 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.65 | $14.59 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.65 | $14.59 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $3.65 | $14.59 | — | 2025-09-05 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.68 | $2,046.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.68 | $2,046.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.68 | $2,046.00 | — | 2025-12-31 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | $3.70 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | $3.70 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.82 | $1,031.25 | $979.69 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.82 | $1,031.25 | $979.69 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.82 | $1,031.25 | $979.69 | 2026-02-20 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $3.84 | $22.32 | — | 2024-12-31 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $3.84 | $19.19 | — | 2025-09-05 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice Options | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice Options | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice Options | $3.90 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.92 | $1,031.25 | $979.69 | 2026-02-20 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $3.95 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $3.95 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $3.95 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $4.00 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.02 | $22.32 | — | 2024-12-31 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | $4.02 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.02 | $1,031.25 | $979.69 | 2026-02-20 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $4.02 | $22.32 | — | 2025-12-31 | 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.