Q9991 — Buprenorph Xr 100 Mg Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Buprenorph xr 100 mg or less (OTHER Q9991) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q9991?code_type=OTHER
MLA (9th ed.)
“Buprenorph xr 100 mg or less (OTHER Q9991) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q9991?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Buprenorph xr 100 mg or less (OTHER Q9991) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q9991?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,875–$2,278 (25th–75th percentile) across 130 hospitals · 199 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q9991 — 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 |
|---|---|---|---|---|---|---|---|
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Medicaid | $396.35 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Medicaid | $396.35 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Medicaid | $396.35 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Medicaid | $396.35 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Shield | Medicaid | $408.24 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Shield | Medicaid | $408.24 | — | — | 2026-05-14 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Mvp | Medicaid | $433.87 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Ny Exchange Medicaid | $433.87 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Cdphp | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Fidelis | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Cdphp | Medicaid | $433.87 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Mvp | Medicaid | $433.87 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Uhc | Medicaid | $433.87 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Medicaid | $433.87 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | United Healthcare | Medicaid | $446.89 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $455.57 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $483.23 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $483.23 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $497.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $497.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $497.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $497.73 | — | — | 2026-05-27 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Essential Plan | $520.65 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Cdphp | Medicaid Essential Plans 1 & 2 | $555.36 | — | — | 2026-05-09 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $669.92 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $669.92 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $669.92 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hk Plus | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Community Care | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Better Health Of Va | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Ccc | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Bcbs | Hk Plus | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Community Care | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Humana | Ccc | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Uhc | Ccc Plus | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Better Health Of Va | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Bcbs | Ccc | $694.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Humana | Ccc | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Uhc | Ccc Plus | $694.00 | — | — | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Molina | Medicaid Molina | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Youth Care | Medicaid Youth Care | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $694.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Youth Care | Medicaid Youth Care | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Molina | Medicaid Molina | $694.74 | — | — | 2026-05-14 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Molina | Complete Mcd | $721.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Molina | Complete Mcd | $721.00 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Medicaid | $733.25 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Medicaid | $733.25 | — | — | 2026-05-14 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Kaiser | Kaiser Mcd | $742.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Kaiser | Kaiser Mcd | $742.00 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Fidelis | Essential | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Essential Plan | $759.28 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Essential (1,2) | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Essential Plan Aliessa | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Oxford | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Essential Plan Qhp | $759.28 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $792.70 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Medicaid | $792.70 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $792.70 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $792.70 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Medicaid | $792.70 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $792.70 | — | — | 2026-05-14 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Medicaid | $802.66 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Blue Cross | Medicaid | $802.66 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $832.34 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $832.34 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $832.34 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $832.34 | — | — | 2026-05-23 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $837.40 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $837.40 | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $837.40 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Mvp | Essential | $867.75 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Essential Plans 1-4 | $891.79 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Essential Plan Non Aliessa | $891.79 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Essential Plan Non Aliessa | $891.79 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Essential Plans 1-4 | $891.79 | — | — | 2026-05-14 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $923.23 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $923.23 | — | — | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Magnacare | Preferred | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Emblem | Commercial | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Magnacare | Standard | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Choice Care | Medicare | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Local 1199 | Medicare | $971.53 | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Magnacare | Jib | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Aetna | Hmo | — | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Cdphp | Essential Plan | $976.21 | — | — | 2026-05-08 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $1,080.80 | — | — | 2026-05-13 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1,143.95 | $0.01 | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $1,155.61 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $1,209.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $1,209.85 | — | — | 2026-05-24 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Magellan | Medicare | $1,262.99 | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Multiplan | Phcs - Beech Street | $1,262.99 | $12,643.75 | $1,643.69 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Oscar Health Exchange | Medicare | $1,321.28 | $12,643.75 | $1,643.69 | 2026-05-06 | 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.