Q9967 — Locm 300-399mg/ml Iodine,1ml
Cite this view
HANK Price Transparency. (n.d.). LOCM 300-399MG/ML IODINE,1ML (OTHER Q9967) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q9967?code_type=OTHER
“LOCM 300-399MG/ML IODINE,1ML (OTHER Q9967) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q9967?code_type=OTHER. Accessed .
“LOCM 300-399MG/ML IODINE,1ML (OTHER Q9967) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q9967?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$234 (25th–75th percentile) across 280 hospitals · 570 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q9967 — 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 |
|---|---|---|---|---|---|---|---|
| MARION GENERAL HOSPITAL Both | United Healthcare | Obsunihe 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Iwu Umr Direct Agreement | Iwuumrda | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna | Cigna001 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Observation Umr | Obsumuni | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Obsunihe | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Iu Health Plans Encore | Iuheaenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Medical Mutual Aetna | Medmuaet 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Transamerican Life Phcs | Traliphc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Pro Claims Plus Encore | Proclenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Siho Encore | Sihoenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn Mcd | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun2 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Medical Mutual Aetna | Medmuaet | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Lutheran Preferred Other | Lutheran1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Sisco Phcs | Siscophc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Hlth Network | Encore 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Alt Risk Phcs | Altriphc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Sisco Encore | Siscoenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Observation United Healthcare | Obunihe | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun2 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun3 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun5 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun5 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun7 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Unity Health Phcs | Unihuphc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Epoch Encore | Epochenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Iu Health Plans Encore | Iuheaenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Mail Handlers Aetna | Maihaaet | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Sisco Phcs | Siscophc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana Health Care | Humheccn 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Golden Rule United Healthcare | Golruun1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Other | Encore1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Healthsmart Phcs | Heasmph1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Donley & Company Encore | Doncoenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Automated Group Encircle | Autgreci | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana Health Care | Humheccn | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Add Insurance Applying For | Pend 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Aetna Ppo Other | Aetna1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encircle | Encircle 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Pro Claims Plus Encore | Proclenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Umr | Unime001 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Tricare | Trica004 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna | Cigna002 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Coresource Repricing Ar | Corsoenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Unihesup | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun7 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Medica United Healthcare | Medicuni | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Mail Handlers Aetna | Maihaaet 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Observation United Healthcare | Obunihe 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Excunihe 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Siho Encore | Sihoenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Prof Benefit Admin Encore | Probeen2 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Ista Claims Encore | Ista0Enc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana Claims | Humgo009 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Exchange Blue Cross | Excblucr | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana/Employers Health | Humanph1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Transamerican Life Phcs | Traliphc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Tricare Retiree | Trica002 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Umr Marion General Hospital | Umrmghun | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Unity Health Phcs | Unihuphc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Hlth Network | Encore | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Unihesup 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana/Employers Health | Humanph1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Ista Claims Encore | Ista0Enc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Humana Claims | Humgo009 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Other | Encore1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Uniheun3 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | United Healthcare | Excunihe | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna Internation Broth | Cigna1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore Coresource Repricing Ar | Corsoenc | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna | Cigna004 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Donley & Company Encore | Doncoenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Lutheran Preferred | Lutheran | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encircle | Encircle | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Christian Healthcare Ministrie | Chrmi001 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Healthsmart Phcs | Heasmph1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Aetna Ppo Other | Aetna1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Alt Risk Phcs | Altriphc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Mcclure Direct Agreement | Heamucda 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Mcclure Direct Agreement | Heamucda 2 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Add Insurance Applying For | Pend | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Exchange Blue Cross | Excblucr 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Automated Group Encircle | Autgreci 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Prof Benefit Admin Encore | Probeen2 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna Ppo | Cigna 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Christian Healthcare Ministrie | Chrmi001 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Vaccn Optum | Vaccn | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Cigna | Cigna003 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore John Alden | Johalen2 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Encore John Alden | Johalen2 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Golden Rule United Healthcare | Golruun1 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Epoch Encore | Epochenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Medica United Healthcare | Medicuni 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Sisco Encore | Siscoenc 1 | — | $0.05 | $0.03 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $0.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $0.09 | — | — | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $0.11 | — | — | 2026-05-23 | MRF ↗ |
| BEAR LAKE MEMORIAL HOSPITAL Both | Medicare B Id Jf | Default | $0.11 | $30.00 | $25.50 | 2026-05-14 | MRF ↗ |
| BEAR LAKE MEMORIAL HOSPITAL Both | Medicare B Id Jf | Default | $0.11 | $30.00 | $25.50 | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $0.11 | — | — | 2026-05-23 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $0.11 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $0.11 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $0.11 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $0.11 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Va Community Care Network | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $0.12 | — | — | 2026-05-14 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Usa Managed Care | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | $0.12 | $467.95 | $182.50 | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Medicare Advantage | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL Outpatient | Aetna | Ppo/Pos/Epo | $0.12 | $57.80 | $28.90 | 2026-05-22 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Orsheln Management | Commercial | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL Outpatient | Aetna | Hmo | $0.12 | $57.80 | $28.90 | 2026-05-22 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Ppoplus | Medicare Advantage | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | $0.12 | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Health Benefit Medicaid | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $0.12 | — | — | 2026-05-14 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Medicare Advantage | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $0.12 | — | — | 2026-05-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $0.12 | — | — | 2026-05-07 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Medicare B Wa Jf | Default | $0.12 | $2.76 | $2.76 | 2026-05-06 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Medica | Individual/Family | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $0.12 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Aetna Better Health | Medicare | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $0.12 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $0.12 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Vantage Health Plan | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Dignity Health Plan | Medicare Advantage | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Va Community Care Network | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Pos | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Traditional | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Ppo | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Exchange Commercial | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | $0.12 | $515.92 | $134.14 | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| PUTNAM GENERAL HOSPITAL Both | Medicaid Georgia | Default | $0.12 | $221.31 | $110.66 | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | All Payer | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $0.12 | — | — | 2026-05-06 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Gilsbar Alliance | Ppo | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $0.12 | — | — | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | United Healthcare | Commercial | $0.12 | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $0.12 | — | — | 2026-05-06 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Health Benefit Plan Medicare Advantage | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $182.85 | $109.71 | 2026-05-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Cdphp | Cdphp | $0.12 | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Connection/Exchange | $0.12 | $1,338.00 | $802.80 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | — | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Verity Healthnet | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Access | $0.12 | $1,338.00 | $802.80 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Commercial/Healthy Ny | $0.12 | $1,338.00 | $802.80 | 2026-05-13 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Vantage Health Plan | Medicare Advantage | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Pomco | — | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Private Healthcare Systems (Phcs) | Commercial | — | $57.50 | $34.50 | 2026-05-08 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $0.12 | — | — | 2026-05-07 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Cdphp | Commercial | $0.12 | — | — | 2026-05-09 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $0.12 | — | — | 2026-05-07 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Coventry | — | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $0.12 | — | — | 2026-05-08 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | — | $1.00 | $0.50 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Small Group | $0.12 | $1,338.00 | $802.80 | 2026-05-13 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.