P9055 — Plt, Aph/pher, L/r, Cmv-neg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Plt, aph/pher, l/r, cmv-neg (HCPCS P9055) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9055?code_type=HCPCS
MLA (9th ed.)
“Plt, aph/pher, l/r, cmv-neg (HCPCS P9055) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9055?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Plt, aph/pher, l/r, cmv-neg (HCPCS P9055) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9055?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $256–$1,299 (25th–75th percentile) across 1,377 hospitals · 3,013 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS P9055 — 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $4,191.25 | $2,095.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,191.25 | $2,095.62 | 2024-12-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,634.00 | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.45 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.80 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $4.05 | $1,387.00 | $1,387.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $4.05 | $1,387.00 | $1,387.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $4.05 | $1,387.00 | $1,387.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $4.05 | $1,387.00 | $1,387.00 | 2025-04-16 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.15 | $3,971.00 | $366.29 | 2024-12-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.66 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.66 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.66 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $9.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.81 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.81 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.81 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $20.43 | $43.00 | $27.95 | 2026-03-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $20.65 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $20.65 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $20.65 | — | — | 2026-07-18 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | NJ Medicaid HMO | NJ Medicaid HMO | $23.55 | $125.00 | $326.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | NJ Medicaid HMO | NJ Medicaid HMO | $23.55 | $125.00 | $326.00 | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | NJ Medicaid HMO | NJ Medicaid HMO | $23.55 | $125.00 | $326.00 | 2024-12-19 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United Healthcare | MGMCD | $25.00 | — | — | 2024-10-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $25.08 | $1,743.00 | $1,132.95 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $25.08 | $1,743.00 | $1,132.95 | 2025-01-01 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Hcfs Out Of State Medicaid | Med.Other 1 | $25.50 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $25.50 | — | — | 2026-07-29 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Hcfs Out Of State Medicaid | MED.OTHER_1 | $25.50 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $25.50 | — | — | 2026-01-08 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | Aetna of Kansas | Managed Medicaid | $25.50 | — | — | 2025-09-26 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | — | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | WPPA | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $25.50 | — | — | 2026-07-29 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare United Healthcare | Med.Unhlt 1 | $25.50 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | — | — | — | 2026-07-29 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | KSMGMCD | $25.50 | — | — | 2026-03-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-03-24 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $25.50 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-03-24 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Medicaid | MEDICAID_1 | $25.50 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Medicaid | Medicaid 1 | $25.50 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | MCR ADV HMO | — | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,764.00 | $1,146.60 | 2026-03-13 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare United Healthcare | MED.UNHLT_1 | $25.50 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | — | — | — | 2026-03-06 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-08-14 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Christian Health Aid | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage (Sunflower) | — | — | — | 2026-07-29 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,764.00 | $1,146.60 | 2026-03-13 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Sunflower Health Plan Medicaid | $25.50 | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-03-12 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | KanCare Medicaid | $25.50 | — | — | 2026-03-06 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | KSMGMCD | $25.50 | — | — | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,764.00 | $1,146.60 | 2026-03-13 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | — | — | — | 2026-07-29 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $25.50 | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $25.50 | $652.00 | $326.00 | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE [20213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,785.00 | $1,160.25 | 2026-06-10 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-06-04 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | United Healthcare of Kansas | Managed Medicaid | $25.50 | — | — | 2025-09-26 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-04 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | KSMGMCD | $25.50 | — | — | 2026-03-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-08-14 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | Sunflower of Kansas | Managed Medicaid | $25.50 | — | — | 2025-09-26 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-06-04 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | — | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $25.50 | $652.00 | $326.00 | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Healthy Blue KanCare | $25.50 | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,764.00 | $1,146.60 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB CTHG KANCARE HEALTHY BLUE MEDICAID NEW 1.1.25 | $25.50 | $1,764.00 | $1,146.60 | 2026-03-13 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | — | — | — | 2026-03-06 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United Healthcare | MGMCD | $25.50 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | KSMGMCD | $25.50 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | United | KSMGMCD | $25.50 | — | — | 2026-03-01 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicaid MCO | $25.50 | $896.00 | $672.00 | 2026-08-14 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | — | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,964.00 | $1,276.60 | 2026-03-12 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL KANCARE UHC MEDCAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE CONTRACTED [320213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $25.50 | $1,785.00 | $1,160.25 | 2026-06-10 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | State of Kansas | Medical Assistance Program | $25.50 | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Health Partners | Commercial PPO | — | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $25.50 | $1,964.00 | $1,276.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE UHC MEDCAID | $25.50 | $1,964.00 | $1,276.60 | 2026-06-09 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $25.50 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $25.75 | — | — | 2024-10-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $25.76 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $25.76 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $25.76 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $25.76 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $26.00 | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Amerigroup | MCD | $26.00 | — | — | 2024-10-01 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Sunflower | MED.SUNFL_1 | $26.01 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| Research Medical Center Outpatient | HealthyBlue | MGMCD | $26.01 | — | — | 2026-03-01 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Sunflower | Med.Sunfl 1 | $26.01 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $26.01 | — | — | 2026-03-01 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Healthy Blue | MED.HLTHBL | $26.01 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $26.01 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $26.01 | — | — | 2026-03-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $26.01 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $26.01 | — | — | 2026-03-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $26.01 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | HealthyBlue | MGMCD | $26.01 | — | — | 2025-01-01 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Healthy Blue | Med.Hlthbl | $26.01 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $26.01 | $1,524.45 | $1,067.12 | 2025-06-28 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Aetna Better Health | MED.AETNA_1 | $26.27 | $1,281.00 | $1,024.80 | 2026-07-07 | MRF ↗ |
| NEWMAN REGIONAL HEALTH Both | Kancare Aetna Better Health | Med.Aetna 1 | $26.27 | $1,281.00 | $1,024.80 | 2026-10-09 | MRF ↗ |
| Research Medical Center Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Sunflower State Health Plan | MCD | $26.27 | — | — | 2025-01-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Unicare | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Amerigroup | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Amerigroup | MCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Unicare | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Unicare | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Amerigroup | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna Better Health | MCD | $26.52 | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Unicare | MGMCD | $26.52 | — | — | 2025-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Unicare | MGMCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Amerigroup | MGMCD | $26.52 | — | — | 2025-01-01 | MRF ↗ |
| Research Medical Center Outpatient | Aetna Better Health | MCD | $26.52 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $26.78 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $26.78 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Home State Health Plan | MCD | $27.03 | — | — | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $27.52 | $43.00 | $27.95 | 2026-03-18 | 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.