P9053 — Plt Pher L/r Cmv-neg Irr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Plt pher l/r cmv-neg irr (OTHER P9053) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9053?code_type=OTHER
MLA (9th ed.)
“Plt pher l/r cmv-neg irr (OTHER P9053) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9053?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Plt pher l/r cmv-neg irr (OTHER P9053) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9053?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $459–$933 (25th–75th percentile) across 118 hospitals · 327 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER P9053 — 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 | $6.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $6.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $6.00 | — | — | 2026-05-08 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare | $28.00 | $2,679.00 | $2,679.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare | $28.00 | $2,679.00 | $2,679.00 | 2026-05-09 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $30.00 | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $30.00 | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $30.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-09 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $30.00 | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $30.00 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $30.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $30.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $30.00 | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $31.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $31.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa | $31.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa | $31.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $32.40 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $32.40 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $33.00 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For You Medicaid | $33.00 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Community Healthchoices Plan | $33.00 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $33.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $33.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For You Medicaid | $33.00 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Community Healthchoices Plan | $33.00 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $33.00 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $34.50 | $5,372.00 | $1,297.88 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $34.50 | $5,372.00 | $1,297.88 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Aetna | Aetna Better Health | $34.50 | $5,533.00 | $1,372.74 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Geisinger | Geisinger Medicaid | $34.50 | $5,533.00 | $1,372.74 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $35.97 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $35.97 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $37.50 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $37.50 | — | — | 2026-05-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $140.35 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $140.35 | — | — | 2026-05-09 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $143.91 | $1,817.00 | $1,362.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $149.72 | $1,817.00 | $1,362.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $164.80 | $1,817.00 | $1,362.75 | 2026-05-13 | 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 ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $217.63 | — | — | 2026-05-27 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $231.67 | $1,817.00 | $1,362.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $231.67 | $1,817.00 | $1,362.75 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Primecare | Managed Care | $242.71 | $1,601.00 | $640.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $246.15 | — | — | 2026-05-13 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | — | $2,273.00 | $1,591.10 | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $280.17 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $280.17 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $280.17 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1,295.00 | $1,100.75 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $1,295.00 | $1,100.75 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Ppo | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Bcbs | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Bcbs | Bcbs Hmo/Ppo | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Bcbs | Bcbs Hmo/Ppo | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Ppo | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Bcbs | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Humana | Humana Ppo | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-22 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage (100% Pom) | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| DESOTO MEMORIAL HOSPITAL Outpatient | Humana | Humana Ppo | — | $636.00 | $318.00 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1,295.00 | $1,100.75 | 2026-05-08 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $1,295.00 | $1,100.75 | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $321.46 | — | — | 2026-05-27 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $325.64 | $1,560.00 | $780.00 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $325.64 | $1,560.00 | $780.00 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Molina | Medicaid Molina | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Youth Care | Medicaid Youth Care | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $346.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $346.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $346.65 | — | — | 2026-05-24 | 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.