SUP-DTBA1D1-SYS — System Icd Crt Viva Xt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SYSTEM ICD CRT VIVA XT (OTHER SUP-DTBA1D1-SYS) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-DTBA1D1-SYS?code_type=OTHER
MLA (9th ed.)
“SYSTEM ICD CRT VIVA XT (OTHER SUP-DTBA1D1-SYS) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-DTBA1D1-SYS?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SYSTEM ICD CRT VIVA XT (OTHER SUP-DTBA1D1-SYS) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-DTBA1D1-SYS?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25,600–$52,800 (25th–75th percentile) across 25 hospitals · 72 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER SUP-DTBA1D1-SYS — 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 |
|---|---|---|---|---|---|---|---|
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $10,567.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $10,637.44 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $10,637.44 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $10,850.19 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $10,850.19 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $10,956.56 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $10,956.56 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Optum Va Ccn | All Plans | $11,315.20 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $11,813.12 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $11,970.56 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $12,427.47 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12,510.08 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12,510.08 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12,760.28 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $12,760.28 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $12,885.38 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $12,885.38 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Wellcare Of Louisiana | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $13,012.48 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $13,402.85 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $13,478.40 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $13,478.40 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $13,478.40 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $13,478.40 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $13,882.75 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $13,882.75 | $128,000.00 | $19,200.00 | 2026-05-06 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $14,065.92 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $14,206.58 | $115,200.00 | $18,432.00 | 2026-05-22 | MRF ↗ |
| Ochsner Medical Center - Northshore, L L C Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $14,206.58 | $115,200.00 | $19,584.00 | 2026-05-23 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Plans | $14,709.76 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Verity Health Network – Lsu First Choice | All Plans | $16,711.68 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Verity Health Network � Lsu First Choice | All Plans | $16,711.68 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $17,942.91 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $17,942.91 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $17,942.91 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $17,942.91 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $18,481.20 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $18,481.20 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Molina Healthcare Of Sc | Medicaid Molina Healthcare Of Sc | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | $19,055.86 | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Select Health Of Sc | Medicaid Select Health Of Sc | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Aetna | Medicare Aetna | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Devoted Health | Medicare Devoted Health | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | $19,055.86 | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare United Healthcare | Medicare Uhc Dual & Dsnp | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Wellcare | Wellcare Health Plans Snp | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medcost | Medcost Preferred | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-Wellcare By Atc | Healthy Connect Prime-Wellcare By Atc | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-First Choice | First Choice Vip Sc Dsnp Medicare | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Molina Marketplace Contracted | Molina Marketplace - Contracted | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna/Fuji | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna Hmo Ppo Oa Netwk Pos Epo Indem | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | United Healthcare | United Healthcare | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Scma | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | First Choice Next | First Choice Next | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Bcbs South Carolina | Medicare Blue/Blue Plus/Blue Saver | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | First Health | First Health Generic | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Nhc Advantage | Medicare Nhc Advantage | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Ambetter-Atc Contracted | Ambetter-Atc Contracted | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Greenwood Mills | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Absolute Total Care | Medicaid Absolute Total Care | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Health Plan Of Sc | $19,055.86 | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Molina Complete & Choice Care | Medicare Molina Complete & Choice Care | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-First Choice | Healthy Connect Prime-First Choice | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Humana | Medicare Humana | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Bluechoice | Medicaid Bluechoice Other Cnty-Healthy Blue | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Aetna | Mhbp-Aetna | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Humana Healthy Horizons | Medicaid Humana Healthy Horizons | — | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Blue Option Exchange | $19,055.86 | $135,442.00 | $81,265.20 | 2026-05-06 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $19,343.33 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-06 | MRF ↗ |
| LAFAYETTE SURGICAL SPECIALTY HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $19,673.60 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Verity Commercial | All Plans | $19,801.60 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $20,064.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $20,064.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Verity Commercial | All Plans | $20,249.60 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Behavioral Health - Tricare | All Plans | $20,292.37 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $20,465.28 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $20,465.28 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $20,665.92 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $20,665.92 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Heritage | All Plans | $21,504.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Heritage | All Plans | $21,504.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $21,544.96 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $21,544.96 | $67,328.00 | $31,644.16 | 2026-05-17 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $22,198.08 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Optum Va Ccn | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Humana Select Partner Plan | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $22,528.00 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $22,528.00 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | $22,528.00 | $70,400.00 | $19,008.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $22,528.00 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| ACADIA GENERAL HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $22,539.26 | $148,480.00 | $31,180.80 | 2026-05-08 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $22,547.08 | $70,400.00 | $33,088.00 | 2026-05-27 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $22,862.48 | $56,320.00 | $38,860.80 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana Military � Tricare | All Plans | $23,640.66 | $56,320.00 | $34,918.40 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $24,640.00 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare � Commercial Heritage | All Plans | $24,640.00 | $70,400.00 | $16,192.00 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $25,088.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | United Healthcare – Commercial Hmo Ppo | All Plans | $25,088.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Primewell Health Services � Medicare Advantage | All Payor | $25,344.00 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Medicare Advantage | All Payor | $25,344.00 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | All Payor | $25,344.00 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $25,344.00 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Simpra Medicare Advantage | All Payor | $25,597.44 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Ambetter | All Payor | $25,597.44 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All Payor | $25,597.44 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $25,600.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $25,600.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $25,600.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $25,600.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $25,600.00 | $51,200.00 | $17,920.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $25,600.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $25,600.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Usa Managed Care Network | All Plans | $25,600.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $25,600.00 | $51,200.00 | $16,896.00 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Patrius Health Medicare Advantage � Ahs | All Payor | $25,850.88 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $26,035.20 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $26,035.20 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $26,366.49 | $56,320.00 | $37,734.40 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Shared Health Mississippi | All Payor | $26,611.20 | $56,320.00 | $42,803.20 | 2026-05-27 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $27,590.40 | $64,000.00 | $21,760.00 | 2026-05-06 | MRF ↗ |
| OCHSNER MEDICAL CENTER-HANCOCK Outpatient | Cigna Healthcare � Commercial | All Plans | $28,160.00 | $70,400.00 | $23,232.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare Medicare Advantage | All Plans | $28,160.00 | $56,320.00 | $34,918.40 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Optum Va Ccn | All Plans | $28,160.00 | $56,320.00 | $34,918.40 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER-HANCOCK Outpatient | Cigna Health Ifp - Commercial Exchange Product(S) | All Plans | $28,160.00 | $70,400.00 | $23,232.00 | 2026-05-27 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $28,288.00 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $28,288.00 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $28,288.00 | $56,576.00 | $18,104.32 | 2026-05-08 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Optum Va Ccn | All Payor | $28,723.20 | $56,320.00 | $38,860.80 | 2026-05-08 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $28,723.20 | $56,320.00 | $38,860.80 | 2026-05-08 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $28,928.00 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $28,928.00 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield � Blue High Performance Network | All Plans | $28,928.00 | $57,856.00 | $14,464.00 | 2026-05-27 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $28,928.00 | $57,856.00 | $14,464.00 | 2026-05-27 | 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.