V2790 — Impl Amniocord 3x5cm -cost Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMPL AMNIOCORD 3X5CM -COST PER SQ CM (HCPCS V2790) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/V2790?code_type=HCPCS
MLA (9th ed.)
“IMPL AMNIOCORD 3X5CM -COST PER SQ CM (HCPCS V2790) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/V2790?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IMPL AMNIOCORD 3X5CM -COST PER SQ CM (HCPCS V2790) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/V2790?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $868–$3,350 (25th–75th percentile) across 947 hospitals · 3,262 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS V2790 — 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 |
|---|---|---|---|---|---|---|---|
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | PREMIER HEALTH [107002] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $6,480.00 | $1,749.60 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE LOUISIANA [350200] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | PREMIER HEALTH [107002] | — | $12,688.00 | $3,425.76 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | UNITED MED RESOURCES (UMR) [107001] | — | $40,000.00 | $10,800.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | GNOCHC [300005] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE LOUISIANA [350200] | — | $15,960.00 | $4,309.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $8,824.00 | $2,382.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $17,160.00 | $4,633.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $3,686.00 | $995.22 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | UNITED MED RESOURCES (UMR) [107001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $38,233.60 | $10,323.07 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID [300000] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID INPATIENT ONLY [300012] | — | $8,824.00 | $2,382.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $2,200.00 | $594.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID INPATIENT ONLY [300012] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERI GROUP LA [330001] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | UNITED HEALTH COMMUNITY [330005] | — | $9,800.00 | $2,646.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | GNOCHC [300005] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMO [100501] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GLOBAL BENEFITS [100109] | — | $11,800.00 | $3,186.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMOX [100506] | — | $3,686.00 | $995.22 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $38,233.60 | $10,323.07 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA LIFE MEDICARE SUP [100107] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | LA HEALTHCARE CONNECTIONS-PSYCH [340003] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | LA HEALTHCARE CONNECTIONS-PSYCH [340003] | — | $40,000.00 | $10,800.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $5,000.00 | $1,350.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $3,712.00 | $1,002.24 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | LA MEDICAID EMERGENT (CONIFER USE ONLY) [300016] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS-PSYCH [350401] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $40,000.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA MEDICARE SUPPLEMENT [100508] | — | $2,200.00 | $594.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | UNITED HEALTH COMMUNITY [330005] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA [100100] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA POS [100503] | — | $6,480.00 | $1,749.60 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS PPO [600001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | MERITAIN HEALTH [100108] | — | $3,992.00 | $1,077.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AETNA BETTER HEALTH-PSYCH [340004] | — | $9,560.00 | $2,581.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | SUREST [100613] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA LIFE MEDICARE SUP [100107] | — | $9,560.00 | $2,581.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AMERICAN CONTINENTAL [100111] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | EBMS AETNA [1100024] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMOX [100506] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERIHEALTH CARITAS LA-PSYCH [340002] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | LA MEDICAID EMERGENT (CONIFER USE ONLY) [300016] | — | $7,200.00 | $1,944.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $3,992.00 | $1,077.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CHRISTIAN BROTHERS [100106] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA SENIOR SUPPLEMENTAL INSURANCE [100110] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $3,686.00 | $995.22 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $3,686.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AETNA BETTER HEALTH-PSYCH [340004] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA PPO [100500] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERIHEALTH CARITAS LA-PSYCH [340002] | — | $15,960.00 | $4,309.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $9,800.00 | $2,646.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS OGB HMO PLAN [600003] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE ADVANTAGE [9000] | BLUE CROSS ANTHEM HEALTH [900001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $75,528.00 | $20,392.56 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GLOBAL BENEFITS [100109] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $13,200.00 | $3,564.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID [300000] | — | $40,000.00 | $10,800.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA GENERIC [100502] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMO [100501] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $3,992.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | SIGNATURE BLUE [600011] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $9,800.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA [100200] | — | $6,480.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | UNITED HEALTH COMMUNITY-PSYCH [340005] | — | $13,200.00 | $3,564.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA PPO [100500] | — | $17,160.00 | $4,633.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS-PSYCH [350401] | — | $6,480.00 | $1,749.60 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | A P W U [100207] | — | $8,824.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA ENVOY [100212] | — | $2,200.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | HERITAGE PLUS [100615] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $11,800.00 | $3,186.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS POS [600002] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | SRC AETNA COMPANY [100101] | — | $38,233.60 | $10,323.07 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | ASSURANT HEALTH [100105] | — | $17,560.00 | $4,741.20 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Anthem | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | ASSURANT HEALTH [100105] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Managed Health Services | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CARE [100600] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS FEDERAL EMPL [600004] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH INTEGRATED [100606] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | SUREST [100613] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $38,233.60 | $10,323.07 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CORE SOURCE [100104] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,025.00 | $1,721.25 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | EBMS AETNA [1100024] | — | $17,560.00 | $4,741.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CHOICE PLUS [100601] | — | $5,000.00 | $1,350.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CHOICE PLUS [100601] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CORE SOURCE [100104] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE GRI [100612] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC GLOBAL [100616] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $8,824.00 | $2,382.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GOLDEN RULE INS CO [100605] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CARE [100600] | — | $7,200.00 | $1,944.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $75,528.00 | $20,392.56 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $3,712.00 | $1,002.24 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH INTEGRATED [100606] | — | $2,200.00 | $594.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | OXFORD HEALTH PLAN [100609] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | UHC | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | UNITED HEALTH COMMUNITY-PSYCH [340005] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | OXFORD HEALTH PLAN [100609] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC GLOBAL [100616] | — | $3,686.00 | $995.22 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $4,860.00 | $3,402.00 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GOLDEN RULE INS CO [100605] | — | $75,528.00 | $20,392.56 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Mdwise | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $12,688.00 | $3,425.76 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $5,512.00 | $1,488.24 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $2,200.00 | $594.00 | 2026-03-25 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,025.00 | $1,721.25 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS TRADITIONAL [600000] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE ADVANTAGE [9000] | BLUE CROSS ANTHEM HEALTH [900001] | — | $3,712.00 | $1,002.24 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA POS [100503] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA GENERIC [100502] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $17,560.00 | — | 2026-03-25 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $5,889.78 | $2,944.89 | 2024-12-15 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $12,688.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $9,800.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $2,200.00 | — | 2026-03-25 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,025.00 | $1,721.25 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $7,960.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $75,528.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AMERICAN CONTINENTAL [100111] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA MEDICARE SUPPLEMENT [100508] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CHRISTIAN BROTHERS [100106] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $9,560.00 | $2,581.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | MERITAIN HEALTH [100108] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $7,200.00 | $1,944.00 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA [100100] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS OGB PPO PLAN [600007] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERI GROUP LA [330001] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $3,712.00 | $1,002.24 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | BLUE CROSS [6000] | BLUE CROSS HMO [600009] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $40,000.00 | $10,800.00 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $3,960.00 | — | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $6,480.00 | $1,749.60 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $38,233.60 | $10,323.07 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | HERITAGE PLUS [100615] | — | $7,592.00 | $2,049.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Caresource | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE GRI [100612] | — | $75,528.00 | $20,392.56 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA SENIOR SUPPLEMENTAL INSURANCE [100110] | — | $17,160.00 | $4,633.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $7,960.00 | $2,149.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $5,160.00 | $1,393.20 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | SRC AETNA COMPANY [100101] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $2,250.00 | $1,867.50 | 2025-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $9,592.00 | $2,589.84 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | NORTH OAKS UMR [107003] | — | $9,592.00 | $2,589.84 | 2026-03-25 | 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.