P9036 — Platelet Pheresis Irradiated
Cite this view
HANK Price Transparency. (n.d.). Platelet pheresis irradiated (OTHER P9036) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9036?code_type=OTHER
“Platelet pheresis irradiated (OTHER P9036) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9036?code_type=OTHER. Accessed .
“Platelet pheresis irradiated (OTHER P9036) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9036?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $588–$1,136 (25th–75th percentile) across 124 hospitals · 345 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER P9036 — 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $6.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $6.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $6.79 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Sunflower State Health Plan | Mgd Medicaid | $25.50 | $3,111.30 | $3,111.30 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $57.90 | — | — | 2026-05-13 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $133.80 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $133.80 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-21 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-13 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-22 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-09 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $183.57 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-21 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-22 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-09 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-18 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-22 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $185.38 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-21 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-18 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-13 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-13 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-09 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-22 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Humana | Medicaid Hmo | $189.02 | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-09 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-21 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-21 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-21 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-18 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-18 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-18 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-09 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-09 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-09 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-13 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $190.83 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Sunshine Health | Medicaid Hmo | $190.83 | — | — | 2026-05-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Freedom Health | Medicaid Hmo | $190.83 | — | — | 2026-05-21 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $192.47 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $192.47 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $192.47 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | — | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | — | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $192.47 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-22 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-09 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-21 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-13 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Aetna | Medicaid Hmo | $194.47 | — | — | 2026-05-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $196.32 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-09 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-22 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-21 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-13 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-13 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Florida Community Care | Medicaid Hmo | $199.92 | — | — | 2026-05-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $211.29 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $211.29 | — | — | 2026-05-27 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Primecare | Managed Care | $212.09 | $1,399.00 | $560.00 | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $233.67 | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $233.67 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $233.67 | — | — | 2026-05-23 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $1,936.00 | $1,355.20 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $262.17 | $3,383.00 | $1,353.20 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Soonercare | Managed Medicaid | $275.03 | $3,111.30 | $3,111.30 | 2026-05-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $275.80 | $3,383.00 | $1,353.20 | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $292.09 | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $292.09 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $292.09 | — | — | 2026-05-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $308.40 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $314.98 | — | — | 2026-05-13 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $315.56 | $2,238.00 | $447.60 | 2026-05-06 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cigna | Mvp Commercial/Select | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Neny | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 101 | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 102 | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 105 | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Managed Medicare 100% | — | $1,856.00 | $928.00 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Managed Medicare | Medicare Hmo 103 | — | $1,856.00 | $928.00 | 2026-05-13 | 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.