M0250 — Adm Tocilizu Covid-19 2nd
Cite this view
HANK Price Transparency. (n.d.). ADM TOCILIZU COVID-19 2ND (HCPCS M0250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/M0250?code_type=HCPCS
“ADM TOCILIZU COVID-19 2ND (HCPCS M0250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/M0250?code_type=HCPCS. Accessed .
“ADM TOCILIZU COVID-19 2ND (HCPCS M0250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/M0250?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $430–$810 (25th–75th percentile) across 1,319 hospitals · 3,264 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS M0250 — 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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $450.00 | $315.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $879.00 | $747.15 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $879.00 | $747.15 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | HMO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.69 | $1,494.00 | $494.61 | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $7.30 | $716.00 | $465.40 | 2026-03-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $15.00 | $450.00 | $126.00 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $15.00 | $450.00 | $126.00 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $16.00 | $450.00 | $126.00 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $16.00 | $450.00 | $126.00 | 2025-02-14 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Essential 1, 2, 3, 4 | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Child Health Plus | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | HARP | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Medicaid | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | HMO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | POS | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $20.50 | $819.00 | $409.50 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $20.50 | $819.00 | $409.50 | 2026-03-18 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $733.00 | $476.45 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $733.00 | $476.45 | 2025-01-01 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Commercial | $21.00 | $1,350.00 | $675.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Options Nexus | Commercial | $22.00 | $1,350.00 | $675.00 | 2026-03-10 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Commercial|Cascade Care | $22.00 | $789.47 | $278.98 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Commercial|Navigate | $24.70 | $789.47 | $278.98 | 2026-02-28 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $25.60 | $512.00 | $512.00 | 2026-03-01 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | United | Commercial|All Other Plans | $26.00 | $789.47 | $278.98 | 2026-02-28 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $27.62 | — | — | 2026-03-18 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $27.64 | $588.06 | $588.06 | 2026-03-01 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | ALLIED BENEFIT SYSTEMS INC [1030] | ALLIED BENEFIT SYSTEMS [103000] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC CARE IMP PLUS MEDICARE ADV [206508] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | CORESOURCE [1315] | CORESOURCE [131500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UMR [2035] | UMR CHEROKEE MLR [203504] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC MEDICARE ADVANTAGE [206511] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | COVENTRY HEALTHCARE [1320] | COVENTRY [132001] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | HUMANA MEDICARE REPLACEMENT [1525] | HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | CIGNA MEDICARE REPLACEMENT [1265] | CIGNA MEDICARE REPLACEMENT [126500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MANAGED MEDICARE [1600] | MANAGED MEDICARE OTHER [160000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | GHI [2835] | GHI MEDICARE REPLACEMENT [283500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MEDICA [2910] | MEDICA QUEST [291001] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | HEALTHCARE SOLUTIONS [1485] | HEALTHCARE SOLUTIONS GROUP [148500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | EMPIRE BCBS [115535] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MULTIPLAN [1680] | PROVIDENCE HEALTH PLAN [168004] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | GENERATIONS HEALTHCARE [1420] | GENERATIONS HEALTHCARE [142000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | PBA [1775] | PROFESSIONAL BENEFIT ADMIN [177500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | NATIONAL ASSOCIATION OF LETTER CARRIERS [1695] | NALC [169500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE CHARTER [206031] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | HUMANA COMMERCIAL [2140] | HUMANA CHOICECARE [214003] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | THE KEMPTON GROUP ADMINISTRATORS [2905] | ADVANTAGE HEALTH PLAN-NO PPO NETWORK [290503] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | WORKER'S COMP [2125] | CITY OF TULSA [2125108] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UNIVERSAL FIDELITY [2085] | UNIVERSAL FIDELITY LIFE [208500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | IHS HEALTH SERVICES [1535] | WITHDRAWAL STABILIZATION-CHICKASAW [153543] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | COMMUNITY CARE MEDICARE [1125] | COMMUNITY CARE ADVANTAGE MEDICARE [112502] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MERITAIN AETNA [3685] | MERITAIN AETNA ARDENT EMPLOYEE [368502] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | GENERATIONS MEDICARE ADVANTAGE [1435] | GLOBAL GENERATIONS MEDICARE ADVANTAGE [143500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | FIRST HEALTH [1375] | FIRST HEALTH [137517] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | GLOBAL HEALTH [1430] | GLOBAL HEALTH COMMERCIAL [143000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | HEALTHCARE HIGHWAYS [2210] | HEALTH PLANS INC [221008] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | LIFE SENIOR SERVICES [2425] | LIFE SENIOR SERVICES [242501] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | OSMA HEALTH NETWORK [2345] | OSMA HEALTH [234500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MEDICARE [1635] | MEDICARE PART B ONLY [163501] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BEACON HEALTH OPTIONS BEHAVIORAL HEALTH [2890] | BEACON HEALTH OPTIONS [289000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | CORVEL CORP [2235] | CORVEL CORP [223500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | RESOURCE ONE ADMINISTRATORS [2815] | RESOURCE ONE ADMINISTRATORS [281500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | VA CCN OPTUM [3920] | VA CCN OPTUM [392000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MERITAIN HEALTH [1655] | MERITAIN HEALTH [165500] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | UNITED HEALTHCARE [2060] | UHC COMPASS HIX [206019] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | CIGNA [1260] | CIGNA [126008] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MEDICARE [1635] | MEDICARE PART A AND B [163500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MEDICARE [1635] | MEDICARE PART A ONLY [163502] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MEDICARE [1635] | REHAB MEDICARE [163504] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | AETNA [1015] | AETNA ACO WILCO [101532] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | MOLINA MEDICARE REPLACEMENT [1675] | MOLINA MEDICARE ADVANTAGE [167500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | AETNA MEDICARE REPLACEMENT [1020] | AETNA COVENTRY MEDICARE REPLACEMENT [102002] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | BCBS OF OK NATIVE BLUE [115569] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | AMERIGROUP MEDICARE [1100] | WELLPOINT FKA AMERIGROUP MEDICARE [110000] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | BLUE CROSS TRADITIONAL OF OKLAHOMA [115501] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | BLUE CROSS CHEROKEE MLR OF OKLAHOMA [115509] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | BLUE HPN [115570] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BCBS [1155] | TULSA BLUE [115531] | — | $1,222.00 | $305.50 | 2025-04-05 | MRF ↗ |
| TULSA SPINE & SPECIALTY HOSPITAL Outpatient | BLACK LUNG [6055] | BLACK LUNG [605500] | — | $1,222.00 | — | 2025-04-05 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | UNITED | NHP | $28.00 | $1,691.00 | $1,099.15 | 2025-06-28 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $28.13 | $562.50 | $562.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $28.13 | $562.50 | $562.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $28.13 | $562.50 | $562.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $28.13 | $562.50 | $562.50 | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $1,666.00 | $1,249.50 | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | POS | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | PPO | — | $3,109.00 | $2,549.38 | 2025-11-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $1,666.00 | $1,249.50 | 2024-12-08 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | UMR - Commercial-PPO | United Healthcare HMO/PPO | $31.00 | $945.00 | $945.00 | 2026-01-08 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $31.30 | $626.00 | $626.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $31.30 | $626.00 | $626.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $31.30 | $626.00 | $626.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $31.30 | $626.00 | $626.00 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $1,666.00 | $1,249.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $1,666.00 | $1,249.50 | 2024-12-08 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $34.00 | $1,691.00 | $1,099.15 | 2025-06-28 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $34.30 | $686.00 | $686.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $34.30 | $686.00 | $686.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $34.30 | $686.00 | $686.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $34.30 | $686.00 | $686.00 | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $2,313.00 | $1,734.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $2,313.00 | $1,734.75 | 2024-12-08 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | UHC INDIV EXCH | UHC INDIV EXCH | $37.00 | $647.00 | $469.00 | 2026-03-26 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | UHC OPTIONS PPO | UHC OPTIONS PPO | $37.00 | $647.00 | $469.00 | 2026-03-26 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $37.00 | $647.00 | $469.00 | 2026-03-26 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | UHC INDIV EXCH | UHC INDIV EXCH | $37.00 | $647.00 | $469.00 | 2026-04-01 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | United | Commercial|Exchange | $37.00 | $810.00 | $283.50 | 2026-02-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | UNITED | International | $38.00 | $1,691.00 | $1,099.15 | 2025-06-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | United | Commercial|Exchange | $38.00 | $738.00 | $129.15 | 2026-02-28 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | UHC OPTIONS PPO | UHC OPTIONS PPO | $38.00 | $647.00 | $469.00 | 2026-04-01 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | United | Commercial|Exchange | $38.00 | $738.00 | $129.15 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | United | Commercial|Exchange | $38.00 | $738.00 | $129.15 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | United | Commercial|Exchange | $38.00 | $738.00 | $129.15 | 2026-02-28 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $38.00 | $647.00 | $469.00 | 2026-04-01 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | United | Commercial|Exchange | $38.00 | $738.00 | $129.15 | 2026-02-28 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHIP | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHIP | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHIP | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $38.27 | $637.90 | $637.90 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $39.06 | $781.22 | $781.22 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $39.06 | $781.22 | $781.22 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $39.06 | $781.22 | $781.22 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $39.06 | $781.22 | $781.22 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $39.06 | $781.22 | $781.22 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $42.34 | $588.06 | $588.06 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $42.34 | $588.06 | $588.06 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $43.45 | $620.69 | $620.69 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $43.45 | $620.69 | $620.69 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $43.45 | $620.69 | $620.69 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $43.45 | $620.69 | $620.69 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $43.45 | $620.69 | $620.69 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | El Paso First Health Plans | MGMCD | $43.74 | $781.00 | $781.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plans | MGMCD | $43.74 | $781.00 | $781.00 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARKids | $43.78 | $625.39 | $625.39 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHIP | $43.78 | $625.39 | $625.39 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $43.78 | $625.39 | $625.39 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $43.78 | $625.39 | $625.39 | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STARPLUS | $43.78 | $625.39 | $625.39 | 2024-10-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $44.61 | $743.58 | $743.58 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $44.61 | $743.58 | $743.58 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $44.61 | $743.58 | $743.58 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $44.61 | $743.58 | $743.58 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $44.61 | $743.58 | $743.58 | 2026-03-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | UHC ALL PAYER NEW - ALL OTHER PLANS | UHC ALL PAYER NEW - ALL OTHER PLANS | $45.00 | $1,964.10 | $1,473.08 | 2026-04-01 | MRF ↗ |
| MERIT HEALTH MADISON Outpatient | UNITED_EXCHANGE | UNITED HEALTHCARE INSURANCE EXCHANGE | $45.00 | $1,126.00 | $450.40 | 2026-03-25 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $45.67 | $761.21 | $761.21 | 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.