V2790 — Amniotic Membrane
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMNIOTIC MEMBRANE (OTHER V2790) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/V2790?code_type=OTHER
MLA (9th ed.)
“AMNIOTIC MEMBRANE (OTHER V2790) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/V2790?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AMNIOTIC MEMBRANE (OTHER V2790) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/V2790?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $730–$4,255 (25th–75th percentile) across 98 hospitals · 179 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $47.00 | $94.00 | $65.80 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $47.00 | $94.00 | $65.80 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $47.00 | $94.00 | $65.80 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $47.00 | $94.00 | $65.80 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $166.00 | $92.96 | 2026-05-09 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hhw | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | — | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc Bh | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Pathways For Aging | — | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | — | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | — | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw Bh | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | — | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | — | — | — | 2026-05-09 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hhw | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Pathways For Aging | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hhw | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hcc | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | — | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hip | — | — | — | 2026-05-13 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $94.00 | $188.00 | $131.60 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $94.00 | $188.00 | $131.60 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $94.00 | $188.00 | $131.60 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $94.00 | $188.00 | $131.60 | 2026-05-22 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $122.20 | $188.00 | $131.60 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $122.20 | $188.00 | $131.60 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $141.75 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $141.75 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $146.80 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $146.80 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $146.80 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $146.80 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $146.80 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $146.80 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Hmo | $150.40 | $188.00 | $131.60 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Hmo | $150.40 | $188.00 | $131.60 | 2026-05-22 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Sr.Careplus | Managedmedicare | $160.00 | $999.00 | $400.00 | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $165.05 | $2,084.00 | $1,563.00 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $171.72 | $2,084.00 | $1,563.00 | 2026-05-13 | MRF ↗ |
| DESERT VIEW HOSPITAL Both | Humanahcp | Managedmedicare | $184.00 | $999.00 | $400.00 | 2026-05-06 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $187.50 | $375.00 | $262.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $187.50 | $375.00 | $262.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $187.50 | $375.00 | $262.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $187.50 | $375.00 | $262.50 | 2026-05-14 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $189.02 | $2,084.00 | $1,563.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $200.55 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $200.55 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $200.55 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $200.55 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $200.55 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $200.55 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $200.55 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $200.55 | — | — | 2026-05-24 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $6,584.00 | $4,938.00 | 2026-05-07 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $243.75 | $375.00 | $262.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $243.75 | $375.00 | $262.50 | 2026-05-22 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | University Health Alliance | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Seven Corners | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Seven Corners | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | University Health Alliance | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicare | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | — | $2,673.00 | $1,871.10 | 2026-05-08 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.