SUP-104 — Generator Demipulse
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENERATOR DEMIPULSE (OTHER SUP-104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-104?code_type=OTHER
MLA (9th ed.)
“GENERATOR DEMIPULSE (OTHER SUP-104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-104?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“GENERATOR DEMIPULSE (OTHER SUP-104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-104?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24,622–$54,849 (25th–75th percentile) across 27 hospitals · 110 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER SUP-104 — 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 |
|---|---|---|---|---|---|---|---|
| St. Louise Regional Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medica | Ppo | — | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hlthcomp Admin | Ppo | — | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Ppo | $0.40 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Health Partners | Ppo | — | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Cigna | Ppo | $0.40 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Web Tpa | Ppo | $0.40 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Hmo | $0.40 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Apwu | Ppo | $0.40 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Cigna | Ppo | $0.41 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap | Ppo | $0.62 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Asr Physicians | Ppo | $0.62 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Alliance Health & Life Ppo | Ppo | $0.62 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna | Ppo | $0.62 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Asr | Ppo | $0.62 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna | Ppo | $0.63 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Umr | Ppo | $0.66 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Golden Rule Ins | Ppo | $0.66 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Student Ins/Mega Life | Ppo | $0.66 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | United Healthcare | Commercial | $0.66 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | United Healthcare | Ppo | $0.66 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medica | Ppo | $0.66 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana | Ppo | $0.69 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana | Ppo | $0.69 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Asr Cofinity | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Core Source | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mid America | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Cofinity Commercial | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hlthcomp Admin | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Cofinity Weyco | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Cofinity Commercial | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Health Partners | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Epoch Group | Ppo | $0.77 | $0.92 | $0.37 | 2026-05-09 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12,550.74 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $12,673.66 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $12,673.66 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $12,927.14 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $12,927.14 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $13,053.87 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $13,053.87 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Optum Va Ccn | All Plans | $13,438.53 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $14,074.39 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $14,216.87 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $14,759.52 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $14,904.77 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $14,904.77 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Molina Healthcare Of Wi Medicare Adv | My Choice Wi | $15,022.56 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $15,202.86 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $15,202.86 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $15,351.91 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $15,351.91 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Wellcare Of Louisiana | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $15,454.31 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $15,917.94 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $16,007.66 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $16,007.66 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $16,007.66 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $16,007.66 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $16,487.89 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $16,487.89 | $152,019.60 | $22,802.94 | 2026-05-06 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $16,705.43 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $16,872.49 | $136,817.64 | $23,259.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $16,872.49 | $136,817.64 | $21,890.82 | 2026-05-22 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Plans | $17,470.09 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Verity Health Network – Lsu First Choice | All Plans | $19,847.68 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Verity Health Network � Lsu First Choice | All Plans | $19,847.68 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan Medicare Adv | Aspirus Health Plan | $20,030.08 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Devoted Health Medicare Adv | Hmo/Pos | $20,030.08 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Blue Priority | Blue Priority/Pathway | $20,430.68 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $21,309.96 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $21,309.96 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $21,309.96 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $21,309.96 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $21,949.25 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $21,949.25 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $22,973.17 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $23,365.41 | $176,342.74 | $37,031.98 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Verity Commercial | All Plans | $23,517.43 | $67,192.66 | $21,501.65 | 2026-05-08 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $23,904.66 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $23,904.66 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance Premier Network | Alliance Premier Network | $23,920.92 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Verity Commercial | All Plans | $24,049.50 | $68,712.86 | $17,178.22 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Behavioral Health - Tricare | All Plans | $24,176.75 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $24,382.75 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $24,382.75 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $24,621.80 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $24,621.80 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Mercycare | Pos/Hmo/Ppo/Epo | $24,837.30 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Managed Health Services Medicare Adv | Managed Health Services Medicare Adv | $25,037.60 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Upward | $25,538.35 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Heritage | All Plans | $25,539.29 | $60,807.84 | $21,282.74 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Heritage | All Plans | $25,539.29 | $60,807.84 | $20,066.59 | 2026-05-08 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $25,587.94 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $25,587.94 | $79,962.31 | $37,582.29 | 2026-05-17 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $26,363.61 | $66,888.62 | $50,835.35 | 2026-05-27 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $26,768.83 | $176,342.74 | $37,031.98 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | $26,840.32 | $83,876.00 | $22,646.52 | 2026-05-08 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Humana Select Partner Plan | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Optum Va Ccn | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $26,840.32 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $26,840.32 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $26,840.32 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $26,863.05 | $83,876.00 | $39,421.72 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Enrich | $27,040.61 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $27,152.70 | $66,888.62 | $46,153.15 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohone | $27,541.36 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana Military � Tricare | All Plans | $28,076.90 | $66,888.62 | $41,470.94 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance | Alliance | $28,162.29 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Hmo Pos | Hmo/Pos | $28,212.37 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Hfn | Platinum | $28,542.86 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nexus | $28,693.09 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Beloit Health System | Ppo | $29,043.62 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan | Hmo/Pos | $29,243.92 | $50,075.20 | $30,045.12 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare � Commercial Heritage | All Plans | $29,356.60 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $29,356.60 | $83,876.00 | $19,291.48 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Hmo Ppo | All Plans | $29,795.84 | $60,807.84 | $21,282.74 | 2026-05-08 | 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.