SUP-ABS-4200-038 — Matrix Tissue 8x3cm Thick Amnion Allograft Cord
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MATRIX TISSUE 8X3CM THICK AMNION ALLOGRAFT CORD (CDM SUP-ABS-4200-038) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-ABS-4200-038?code_type=CDM
MLA (9th ed.)
“MATRIX TISSUE 8X3CM THICK AMNION ALLOGRAFT CORD (CDM SUP-ABS-4200-038) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-ABS-4200-038?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“MATRIX TISSUE 8X3CM THICK AMNION ALLOGRAFT CORD (CDM SUP-ABS-4200-038) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-ABS-4200-038?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,494–$19,404 (25th–75th percentile) across 23 hospitals · 67 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-ABS-4200-038 — 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 |
|---|---|---|---|---|---|---|---|
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $1,896.05 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $1,896.05 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,350.66 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,350.66 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,467.08 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,467.08 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,469.85 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,469.85 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,486.48 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,550.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,550.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,553.01 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,553.01 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,611.22 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,611.22 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,611.22 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,680.52 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,680.52 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,680.52 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,680.52 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,708.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,708.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,741.51 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,741.51 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,844.07 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,844.07 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,844.07 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,844.07 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,949.41 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,010.39 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,096.32 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,099.10 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,162.85 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,162.85 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,162.85 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,223.84 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,265.42 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,265.42 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,265.42 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,265.42 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,284.82 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,284.82 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,320.86 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,320.86 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,337.49 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,337.49 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,404.02 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,404.02 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,404.02 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,404.02 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,008.31 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,008.31 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,085.93 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,085.93 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,085.93 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,085.93 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,363.13 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,363.13 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | FIRST HEALTH [5032000110] | Aetna/Coventry First Health | $4,400.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | ALT CENPATICO KS MCAID BEHAVIORAL [503201518] | Cenpatico - Sunflower BH (KS Medicaid) | $4,400.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | AHA-HEALTHCARE PREFERRED [503200050] | Aetna/Coventry First Health | $4,400.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,471.24 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $4,490.64 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $4,490.64 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS HMO-SSCD | $4,566.43 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS HMO-SSCD | $4,566.43 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS HMO-SSCD | $4,566.43 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,690.22 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,695.77 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,695.77 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,851.00 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $4,950.79 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $4,950.79 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS OUT OF STATE [1211] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER INDIANA BLUE CROSS [121003] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER ILLINOIS BLUE CROSS [121002] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS PPO-SSCD | $5,264.21 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | HCHSync Centrus Health Direct [503999916] | Centrus Health Direct - Exclusive | $5,280.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,405.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,405.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,405.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,405.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5,516.28 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5,516.28 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5,516.28 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5,516.28 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | TRICARE [1193] | HB CC OCU HEALTHNET TRICARE (CAH) | $5,708.79 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | HCHSync Centrus Health Direct [503999916] | Centrus Health Direct - Non Exclusive | $6,160.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | PHP [503200005] | Preferred Health Professionals (PHP) | $6,160.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,516.97 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,516.97 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,516.97 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,516.97 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,516.97 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,516.97 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,519.74 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,196.11 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,196.11 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,484.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,484.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,484.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $7,548.16 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $7,548.16 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $7,927.92 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $7,933.46 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $7,933.46 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $7,933.46 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | MODA HEALTH MEDICARE [1419] | HB CC OCU MODA MDCR ADV (CAH/RHC) | $7,939.06 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | MEDICARE [106] | HB CC OCU MEDICARE (CAH/RHC) | $7,939.06 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [2271] | HB CC OCU MEDICARE (CAH/RHC) | $7,939.06 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | MEDICARE ALT [1644] | HB CC OCU MEDICARE (CAH/RHC) | $7,939.06 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | MEDICARE [106] | MEDICARE PART A AND B [1060002] | $7,939.06 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $8,676.36 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $8,676.36 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA [10200] | Cigna Local Plus | $8,731.80 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Local Plus | $8,731.80 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Local Plus | $8,731.80 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | Alt Carelon Behavioral Health [503200905] | CARELON BEHAVIORAL HEALTH | $8,800.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $8,889.80 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED MEDICAL RESOURCES [1301] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED HEALTHCARE [1156] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED MEDICAL RESOURCES [1158] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED MEDICAL RESOURCES [1158] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED HEALTHCARE [1156] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | MANAGED CARE [2000] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | MANAGED CARE [2000] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | COMMERCIAL [2001] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT Both | UNITED MEDICAL RESOURCES [1301] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,191.14 | $22,977.84 | $5,928.28 | 2026-01-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $9,236.30 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA [10200] | Cigna Open Access | $9,286.20 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Open Access | $9,286.20 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Open Access | $9,286.20 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $9,341.64 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | BCBS MEDICARE [1018] | HB CC OCU REGENCE BCBS MDCR ADV PPO (CAH/RHC) | $9,350.85 | $18,335.00 | $18,335.00 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED MEDICAL RESOURCES [1301] | UNITED HEALTHCARE ALL PAYER-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED MEDICAL RESOURCES [1301] | UNITED HEALTHCARE OPTIONS PPO-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED MEDICAL RESOURCES [1158] | UNITED HEALTHCARE OPTIONS PPO-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED MEDICAL RESOURCES [1158] | UNITED HEALTHCARE ALL PAYER-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED HEALTHCARE [1156] | UNITED HEALTHCARE OPTIONS PPO-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | UNITED HEALTHCARE [1156] | UNITED HEALTHCARE ALL PAYER-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | MANAGED CARE [2000] | UNITED HEALTHCARE OPTIONS PPO-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | COMMERCIAL [2001] | UNITED HEALTHCARE ALL PAYER-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | MANAGED CARE [2000] | UNITED HEALTHCARE ALL PAYER-SSCD | $9,493.62 | $23,734.05 | $5,268.96 | 2026-01-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,607.75 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED HEALTHCARE [1156] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED MEDICAL RESOURCES [1158] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED HEALTHCARE [1156] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED MEDICAL RESOURCES [1158] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | COMMERCIAL [2001] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED MEDICAL RESOURCES [1301] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | MANAGED CARE [2000] | UHC OPTIONS PPO-NID-HAM-DYER-MUN-CRN PT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | MANAGED CARE [2000] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER Both | UNITED MEDICAL RESOURCES [1301] | UHC NID-HAMMOND-DYER-MUNSTER-CRN POINT | $9,853.18 | $24,632.95 | $6,650.90 | 2026-01-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $10,256.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $10,256.40 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $10,256.40 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $10,256.40 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT SOLOCARE [11101] | Alliant Solocare | $10,256.40 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $10,256.40 | $27,720.00 | $8,316.00 | 2026-07-01 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | ALT MERITAIN HEALTH [503999911] | Aetna | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | AETNA [503200004] | Aetna | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | NATIONAL ASSN LETTER CARRIERS [503200019] | HealthPartners of Kansas | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | CIGNA [503200903] | HealthPartners of Kansas | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | MERITAIN HEALTH [503200039] | Aetna | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS Both | Allied National [503999937] | Allied National | $10,560.00 | $17,600.00 | $3,520.00 | 2026-04-08 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $10,866.24 | $27,720.00 | $8,316.00 | 2026-04-01 | 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.