Q0489 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS Q0489) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q0489?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS Q0489) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q0489?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS Q0489) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q0489?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,309–$28,633 (25th–75th percentile) across 884 hospitals · 1,006 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q0489 — 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 |
|---|---|---|---|---|---|---|---|
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | — | — | 2026-02-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $332.76 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $332.76 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $332.76 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $381.35 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $381.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $381.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $415.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $415.22 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $415.22 | — | — | 2026-03-18 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $831.00 | — | — | 2026-03-18 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,082.70 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,082.70 | — | — | 2026-05-06 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $1,656.92 | — | — | 2025-12-27 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $2,175.36 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| MACNEAL HOSPITAL BothFacility | Self Pay | Self Pay | $2,918.02 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $2,930.36 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $2,930.36 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $2,930.36 | — | — | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $2,991.12 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $2,991.12 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $2,991.12 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $2,991.12 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $2,991.12 | $27,192.00 | $16,315.20 | 2026-02-20 | MRF ↗ |
| MACNEAL HOSPITAL BothFacility | BCBS IL | Blue Precision | $3,168.36 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Wellpoint | Managed Medicaid | $3,260.46 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior | Managed Medicaid | $3,260.46 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Parkland | Managed Medicaid | $3,260.46 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Aetna Better Health | Managed Medicaid | $3,260.46 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Managed Medicaid | $3,261.37 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| MACNEAL HOSPITAL BothFacility | BCBS IL | HMO | $3,406.40 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL BothFacility | BCBS IL | PPO | $3,406.40 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Molina | Managed Medicaid | $3,521.15 | $22,570.00 | $11,285.00 | 2026-03-10 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $3,612.96 | $30,108.00 | $18,064.80 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $3,718.34 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | Superior Health Plan | Medicaid | $3,806.88 | $27,192.00 | $16,315.20 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | Superior Health Plan | Medicaid | $3,806.88 | $27,192.00 | $16,315.20 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $3,914.04 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $3,929.00 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $3,929.00 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $4,082.00 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $4,082.00 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $4,109.74 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $4,109.74 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $4,109.74 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $4,109.74 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $4,109.74 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $4,259.54 | — | — | 2026-01-29 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $4,350.72 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Superior Health Plan | Medicaid | $4,350.72 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Cook Children's Health Plan | Medicaid | $4,350.72 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $4,350.72 | $27,192.00 | $16,315.20 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | Superior Health Plan | Medicaid | $4,350.72 | $27,192.00 | $16,315.20 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Aetna | Medicaid | $4,437.73 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| MACNEAL HOSPITAL BothFacility | BCBS IL | Blue Choice | $4,515.25 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $4,516.20 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $4,516.20 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior Ambetter Exchange | Commercial | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Procare | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Wellpoint | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | PPO | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Behavioral Health | Commercial | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Molina | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Medicare Advantage PPO | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Medicare Advantage HMO | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Wellpoint | Managed Medicaid | $4,618.10 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Aetna Better Health | Managed Medicaid | $4,618.10 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Humana | Medicare Advantage | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Parkland | Managed Medicaid | $4,618.10 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | HMO | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Value Options | Commercial | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | Traditional | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior | Managed Medicaid | $4,618.10 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Cigna Behavioral Health | Commercial | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | MyBlueHealth | — | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Managed Medicaid | $4,619.38 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $4,622.76 | $15,358.00 | $2,918.02 | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $4,696.85 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $4,848.77 | $25,254.00 | $16,415.10 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $4,848.77 | $25,254.00 | $16,415.10 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $4,849.54 | $25,258.00 | $16,417.70 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $4,849.54 | $25,258.00 | $16,417.70 | 2026-03-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $4,913.63 | $30,108.00 | $18,064.80 | 2026-02-21 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Molina | Managed Medicaid | $4,987.33 | $31,968.00 | $15,984.00 | 2026-03-10 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | Cigna | PPO | $5,037.42 | $15,358.00 | — | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | Superior Health Plan | Medicaid | $5,166.48 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $5,166.48 | $27,192.00 | $16,315.20 | 2026-02-18 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | Superior Health Plan | Medicaid | $5,166.48 | $27,192.00 | $16,315.20 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Superior Health Plan | Medicaid | $5,166.48 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Oscar | Commercial | — | $32,892.00 | $4,933.80 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $5,173.91 | $32,892.00 | $4,933.80 | 2026-02-27 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Aetna | Medicaid | $5,269.81 | $27,192.00 | $16,315.20 | 2026-02-21 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $5,329.23 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $5,329.23 | $15,358.00 | $3,532.34 | 2026-03-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $5,419.44 | $30,108.00 | $18,064.80 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | Superior Health Plan | Medicaid | $5,419.44 | $30,108.00 | $18,064.80 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $5,419.44 | $30,108.00 | $18,064.80 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | Superior Health Plan | Medicaid | $5,438.40 | $27,192.00 | $16,315.20 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $5,438.40 | $27,192.00 | $16,315.20 | 2026-02-19 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $5,490.00 | $18,300.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $5,490.00 | $18,300.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $5,490.00 | $18,300.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $5,490.00 | $18,300.00 | — | 2025-06-28 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Halcyon Behavioral Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Halcyon Behavioral Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Short Doyle Madera County | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | EPN | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Halcyon Behavioral Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Physmetrics Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Short Doyle Madera County | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Short Doyle Kings County | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $5,550.00 | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $5,550.00 | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $5,550.00 | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Kaweah Delta Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Central CA Alliance | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Short Doyle Madera County | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | EPN | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | $5,550.00 | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana HMO EHS | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana HMO - MedPro | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic Humana HMO | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Imperial Health Plan HMO | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield 65 Plus HMO First Choice | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Innovative Integrated Health Community Plans HMO | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield HMO-CVMP/MedPro | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Saint Agnes | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Promise - Imperial | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield Sante | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Mariposa | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Merced | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Cigna Access (PFFS) | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Kings | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana Choice (PFFS) | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | BSCPHP HMO - First Choice | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet Sante Dual Risk | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | BSCPHP - DHMSO | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana (ChoiceCare) | PPO | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Stanislaus | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic Humana PFFS | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Kaiser Senior Advantage Medicare | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana HMO - First Choice | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Fresno | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Kaweah Delta Health | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Cares Act Provider Relief Fund | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Central Valley Medical Providers | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Champion Health Plan of California MA | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic Care Out of County | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CorrectCare Integrated Health | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet Sante | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Coalinga State Hospital | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic BSCPHP | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Cal Caloptima | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Care1st HMO - EHS | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | BSCPHP - First Choice | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Kern | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Generic Victims of Crime | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet Sante - Sub Cap Dual Risk | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | CCS Tulare | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Central Valley Medical Providers | Commercial | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet HMO - La Salle | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet HMO - DHMSO | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER InpatientFacility | Blue Shield 65 Plus HMO EHS | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | HealthNet HMO - CVMP/MedPro | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Hartford Life Supplement | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital InpatientFacility | Humana HMO - Key Medical | Medicare Advantage | — | $22,200.00 | $17,760.00 | 2025-03-13 | 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.