Q4145 — Tissue Amnio Epifix Inj 100mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TISSUE AMNIO EPIFIX INJ 100MG (CPT Q4145) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4145?code_type=CPT
MLA (9th ed.)
“TISSUE AMNIO EPIFIX INJ 100MG (CPT Q4145) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4145?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TISSUE AMNIO EPIFIX INJ 100MG (CPT Q4145) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4145?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39–$1,987 (25th–75th percentile) across 965 hospitals · 1,292 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4145 — 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 |
|---|---|---|---|---|---|---|---|
| MCLAREN CARO REGION Both | Tricare | Tricare | $0.88 | $1.70 | $0.85 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Both | Tricare | Tricare | $0.88 | $1.70 | $0.85 | 2025-12-31 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | RURAL CARRIERS-ALL PLANS | RURAL CARRIERS-ALL PLANS | $1.70 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | MERITAIN-ALL PLANS | MERITAIN-ALL PLANS | $1.80 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $1.80 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $1.84 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $1.90 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $1.90 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| REPUBLIC COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $1.90 | $2.00 | $1.50 | 2026-03-10 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $4.55 | — | — | 2026-01-29 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $4.68 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $6.19 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $6.19 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $6.19 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $6.19 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $6.43 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $6.43 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $6.43 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $6.43 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $6.43 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $6.50 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $6.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $6.71 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $6.71 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $6.71 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $6.71 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $6.81 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Amerigroup | MCD | $6.99 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $7.01 | $58.44 | $35.06 | 2026-02-19 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $7.01 | $19.48 | $12.27 | 2026-01-27 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.05 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $7.06 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.22 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $7.22 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $7.22 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $7.22 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $7.22 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $7.25 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $7.38 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $7.39 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.41 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.41 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.41 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.59 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $7.60 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $7.60 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $7.62 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $7.62 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $7.62 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | OptionsPPO | $7.68 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $7.74 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $7.74 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $7.74 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $7.74 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $7.77 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $7.80 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $7.96 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $7.96 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.98 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Superior Wellcare | Managed Medicaid | $7.98 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $7.98 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $7.98 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $7.98 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $7.98 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $7.98 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Superior Wellcare | Managed Medicaid | $8.13 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Amerigroup | Managed Medicaid | $8.14 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Cook Childrens | Managed Medicaid | $8.14 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $8.14 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | United Healthcare | Managed Medicaid | $8.14 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Parkland | Managed Medicaid | $8.14 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | Superior Health Plan | Medicaid | $8.18 | $58.44 | $35.06 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | Superior Health Plan | Medicaid | $8.18 | $58.44 | $35.06 | 2026-02-23 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $8.21 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Molina | Managed Medicaid | $8.21 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Amerigroup | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Cook Childrens | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | United Healthcare | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | United Healthcare | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Cook Childrens | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Amerigroup | Managed Medicaid | $8.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Molina | Managed Medicaid | $8.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Aetna | Managed Medicaid | $8.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $8.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $8.48 | — | — | 2026-01-28 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Aetna | Managed Medicaid | $8.52 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Superior Wellcare | Managed Medicaid | $8.55 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Superior Wellcare | Managed Medicaid | $8.67 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Superior Wellcare | Managed Medicaid | $8.67 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Parkland | Managed Medicaid | $8.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Amerigroup | Managed Medicaid | $8.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | United Healthcare | Managed Medicaid | $8.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $8.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $8.76 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $8.76 | — | — | 2026-03-01 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $8.77 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $8.77 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Molina | Managed Medicaid | $8.79 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Molina | Managed Medicaid | $8.92 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Molina | Managed Medicaid | $8.92 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD OutpatientFacility | Aetna | Managed Medicaid | $8.96 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE OutpatientFacility | Aetna | Managed Medicaid | $9.09 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE OutpatientFacility | Aetna | Managed Medicaid | $9.09 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $9.12 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Superior Wellcare | Managed Medicaid | $9.12 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $9.23 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Parkland | Managed Medicaid | $9.23 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | United Healthcare | Managed Medicaid | $9.23 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Amerigroup | Managed Medicaid | $9.23 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $9.35 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | Superior Health Plan | Medicaid | $9.35 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $9.35 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Superior Health Plan | Medicaid | $9.35 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Cook Children's Health Plan | Medicaid | $9.35 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN OutpatientFacility | Molina | Managed Medicaid | $9.38 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $9.44 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Sedgwick | Preferred Network | $9.44 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Injury Management Organization | Med Select Network | $9.44 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.47 | — | — | 2026-02-05 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $9.54 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Aetna | Medicaid | $9.54 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Superior Wellcare | Managed Medicaid | $9.69 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Medicare Advantage | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $9.77 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $9.77 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $9.77 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $9.77 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State | MGMCD | $9.85 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCD | $9.85 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO OutpatientFacility | Molina | Managed Medicaid | $9.97 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $10.26 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $10.52 | $58.44 | $35.06 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $10.52 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | Superior Health Plan | Medicaid | $10.52 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | QualifiedHealthPlan | $10.53 | $49.25 | $49.25 | 2026-03-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Molina | Managed Medicaid | $10.56 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Aetna | Managed Medicaid | $10.75 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Superior Wellcare | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | HealthSpring | Medicare Advantage | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Molina | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Parkland | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | United Healthcare | Medicare Advantage HMO | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | United Healthcare | Medicare Advantage PPO | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | Amerigroup | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY OutpatientFacility | United Healthcare | Managed Medicaid | $10.83 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $10.95 | $98.00 | $73.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Centene | Peach State Medicaid | $10.95 | $98.00 | $73.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $10.95 | $98.00 | $73.50 | 2026-02-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Superior Health Plan | Medicaid | $11.10 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | Superior Health Plan | Medicaid | $11.10 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $11.10 | $58.44 | $35.06 | 2026-02-18 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | Superior Health Plan | Medicaid | $11.10 | $58.44 | $35.06 | 2026-02-18 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $11.25 | $80.30 | $33.73 | 2026-02-28 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareSource | CareSource | $11.28 | $98.00 | $73.50 | 2026-02-14 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $11.29 | $80.60 | $33.86 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Aetna | Medicaid | $11.33 | $58.44 | $35.06 | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | United Healthcare | Managed Medicaid | $11.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Superior Wellcare | Medicare Advantage MMP | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Amerigroup | Managed Medicaid | $11.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Cook Childrens | Managed Medicaid | $11.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | United Healthcare | Medicare Advantage HMO | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Amerigroup | Medicare Advantage | — | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $11.36 | $75.40 | $45.24 | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $11.66 | $58.44 | $35.06 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $11.69 | $58.44 | $35.06 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Superior Health Plan | Medicaid | $11.69 | $58.44 | $35.06 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $11.69 | $58.44 | $35.06 | 2026-02-19 | 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.