Does Methodist Hc Transplant publish its standard charges and chargemaster?

Yes. Methodist Hc Transplant publishes a machine-readable file with 60,805 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Methodist Hc Transplant charge for procedures?

Methodist Hc Transplant publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · · CCN 449806

Methodist Hc Transplant

Compliance grade

100/100

Rates published

60,805

last crawl 2026-05-24

Procedures tracked

179

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.methodisthealth.org/files/financial-assistance/insurance-billing/GTwnMLH_MLH_FullCDM_PriceTransparency_METHODIST_LEBONHEUR_GERMANTOWN_HOSP.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	15	$30,016	$6,603.51	$1,215	$12,020	0.94×	$25,081
Psychiatric diagnostic evaluation	CPT	90791	6	$551	$121.22	$50	$239.36	1.4×	$783
Psychiatric eval with medical services	CPT	90792	6	$444	$97.68	$50	$239.36	1.4×	$783
Psychotherapy 30 minutes	CPT	90832	6	$457	$100.54	$41.43	$118.13	0.80×	$307.15
Psychotherapy 45 minutes	CPT	90834	6	$457	$100.54	$55.08	$118.13	0.73×	$307.15
Psychotherapy 60 minutes	CPT	90837	6	$457	$100.54	$55.08	$118.13	0.62×	$307.15
Crisis psychotherapy 60 minutes	CPT	90839	5	$436	$95.92	$55.08	$218.08	1.4×	$307.15
emergency
ED visit level 1	CPT	99281	15	$807	$177.54	$51	$80.63	0.58×	$1,493
ED visit level 2	CPT	99282	15	$944	$207.68	$51	$145.66	0.61×	$3,892
ED visit level 3	CPT	99283	14	$1,406	$309.32	$51	$253.55	0.63×	$7,951
ED visit level 4	CPT	99284	15	$2,289	$503.58	$51	$401.62	0.60×	$9,745
ED visit level 5	CPT	99285	15	$28,901	$6,358.22	$51	$594.86	0.57×	$10,136
Critical care, first hour	CPT	99291	15	$31,018	$6,823.86	$51	$771.58	0.72×	$10,816
imaging
CT head without contrast	CPT	70450	15	$3,202	$704.44	$50	$97.87	0.47×	$296.28
CT head with contrast	CPT	70460	15	$4,432	$975.04	$50	$163.69	0.70×	$432.4
CT head with and without contrast	CPT	70470	15	$5,158	$1,134.76	$50	$169.03	0.63×	$517.85
CT neck with contrast	CPT	70491	15	$4,432	$975.04	$50	$163.69	0.60×	$541.04
MRI brain without contrast	CPT	70551	15	$6,202	$1,364.44	$50	$221.34	0.55×	$617.8
MRI brain with contrast	CPT	70552	15	$7,052	$1,551.44	$50	$327.02	0.68×	$914.08
MRI brain with and without contrast	CPT	70553	15	$8,449	$1,858.78	$50	$331.93	0.56×	$1,041.5
Chest X-ray single view	CPT	71045	15	$438	$96.36	$9.02	$80.63	0.85×	$206.83
Chest X-ray 2 views	CPT	71046	15	$438	$96.36	$16.64	$80.63	0.82×	$206.83
Chest X-ray 3 views	CPT	71047	14	$438	$96.36	$21.22	$80.63	0.84×	$206.83
CT chest without contrast	CPT	71250	15	$3,202	$704.44	$50	$97.87	0.46×	$406.35
CT chest with contrast	CPT	71260	15	$11,886	$2,615.01	$50	$163.69	0.58×	$543.94
CT chest with and without contrast	CPT	71270	15	$5,158	$1,134.76	$50	$169.03	0.58×	$664.14
MRI chest without contrast	CPT	71550	15	$6,202	$1,364.44	$50	$224.14	0.52×	$1,351.42
MRI chest with contrast	CPT	71551	14	$7,052	$1,551.44	$50	$723.46	0.89×	$1,471.62
MRI chest with and without contrast	CPT	71552	15	$8,449	$1,858.78	$50	$350.09	0.58×	$1,843.23
Lumbosacral spine X-ray	CPT	72100	15	$550	$121	$20.74	$97.38	0.94×	$206.83
CT cervical spine without contrast	CPT	72125	15	$3,202	$704.44	$50	$101.07	0.50×	$529.45
CT thoracic spine without contrast	CPT	72128	15	$3,202	$704.44	$50	$101.07	0.51×	$527.97
CT lumbar spine without contrast	CPT	72131	15	$3,202	$704.44	$50	$101.07	0.50×	$525.12
MRI cervical spine without contrast	CPT	72141	15	$6,202	$1,364.44	$50	$221.34	0.56×	$593.18
MRI thoracic spine without contrast	CPT	72146	15	$6,202	$1,364.44	$50	$221.34	0.59×	$594.61
MRI lumbar spine without contrast	CPT	72148	15	$6,202	$1,364.44	$50	$221.34	0.59×	$594.61
MRI lumbar spine with and without contrast	CPT	72149	15	$7,052	$1,551.44	$50	$331.93	0.73×	$921.3
MRI cervical spine with and without contrast	CPT	72156	15	$8,449	$1,858.78	$50	$331.93	0.61×	$1,051.67
MRI lumbar spine with contrast	CPT	72158	15	$8,449	$1,858.78	$50	$331.93	0.61×	$1,048.77
CT pelvis without contrast	CPT	72192	15	$3,202	$704.44	$50	$97.87	0.49×	$368.71
CT pelvis with contrast	CPT	72193	15	$4,432	$975.04	$50	$163.69	0.58×	$713.38
Shoulder X-ray	CPT	73030	15	$550	$121	$18.02	$80.63	0.87×	$206.83
Humerus X-ray	CPT	73060	15	$550	$121	$17.41	$80.63	0.90×	$206.83
Hand X-ray 3 views	CPT	73130	15	$550	$121	$20.74	$80.63	0.87×	$206.83
MRI upper extremity joint without contrast	CPT	73221	15	$6,201	$1,364.22	$50	$221.34	0.53×	$669.31
MRI upper extremity joint with and without contrast	CPT	73223	15	$8,449	$1,858.78	$50	$331.93	0.54×	$1,436.88
Knee X-ray 1-2 views	CPT	73560	15	$550	$121	$18.32	$80.63	0.86×	$206.83
Ankle X-ray 3 views	CPT	73610	15	$550	$121	$18	$80.63	0.87×	$206.83
MRI lower extremity joint without contrast	CPT	73721	15	$6,202	$1,364.44	$50	$221.34	0.47×	$669.31
MRI lower extremity joint with and without contrast	CPT	73723	15	$8,449	$1,858.78	$50	$331.93	0.52×	$1,433.98
CT abdomen without contrast	CPT	74150	15	$3,202	$704.44	$50	$97.87	0.52×	$364.34
CT abdomen with contrast	CPT	74160	15	$4,432	$975.04	$50	$163.69	0.57×	$710.48
CT abdomen with and without contrast	CPT	74170	15	$5,158	$1,134.76	$50	$170.48	0.51×	$814.75
CT abdomen and pelvis without contrast	CPT	74176	15	$6,402	$1,408.44	$50	$221.34	0.61×	$458.49
CT abdomen and pelvis with contrast	CPT	74177	15	$8,861	$1,949.42	$50	$327.02	0.60×	$924.83
CT abdomen and pelvis with and without contrast	CPT	74178	15	$10,312	$2,268.64	$50	$327.02	0.57×	$1,055.99
MRI abdomen without contrast	CPT	74181	15	$6,202	$1,364.44	$50	$221.34	0.57×	$694.56
MRI abdomen with and without contrast	CPT	74183	15	$8,449	$1,858.78	$50	$331.93	0.59×	$1,174.76
Abdominal ultrasound complete	CPT	76700	15	$1,277	$280.94	$48.89	$97.38	0.65×	$406.89
Abdominal ultrasound limited	CPT	76705	15	$1,217	$267.74	$20	$97.38	0.67×	$320.76
Retroperitoneal ultrasound complete	CPT	76770	15	$1,217	$267.74	$44	$97.38	0.68×	$388.2
Obstetric ultrasound first trimester	CPT	76801	15	$783	$172.26	$42.75	$97.38	0.69×	$312.16
Obstetric ultrasound after first trimester	CPT	76805	14	$1,217	$267.74	$48.89	$97.38	0.64×	$391.1
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$1,968	$432.96	$50	$221.34	0.94×	$412.2
Transvaginal ultrasound	CPT	76830	15	$1,217	$267.74	$48.89	$97.38	0.66×	$370.98
Pelvic ultrasound complete	CPT	76856	15	$1,217	$267.74	$40	$97.38	0.68×	$363.85
Scrotal ultrasound	CPT	76870	15	$1,217	$267.74	$31	$97.38	0.74×	$181.35
Diagnostic mammography unilateral	CPT	77065	14	$1,156	$254.32	$48.06	$76	0.51×	$381.15
Diagnostic mammography bilateral	CPT	77066	14	$1,156	$254.32	$50	$96.86	0.51×	$487.75
Screening mammography bilateral	CPT	77067	14	$524	$115.28	$50	$80.17	0.51×	$402.74
EKG complete	CPT	93000	13	$731	$160.82	$11.48	$12.81	0.52×	$446
EKG tracing only	CPT	93005	15	$356	$78.32	$6.97	$54.39	0.46×	$446
EKG interpretation only	CPT	93010	13	$24	$5.28	$5.16	$7.41	0.41×	$8.43
Transthoracic echocardiogram complete	CPT	93306	15	$7,307	$1,607.54	$50	$502.08	0.84×	$935.02
Stress echocardiogram	CPT	93350	15	$2,398	$527.56	$50	$502.08	0.99×	$935.02
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	15	$47,041	$10,349	$1,397	$13,179	0.85×	$30,394
COPD w MCC	MS-DRG	190	5	$36,851	$8,107.33	$50	$1,226.5	0.11×	$17,077
COPD w CC	MS-DRG	191	15	$22,224	$4,889.39	$1,397	$8,149.15	0.92×	$15,137
COPD w/o CC/MCC	MS-DRG	192	15	$20,491	$4,508.07	$1,397	$6,744.35	0.96×	$11,528
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	$29,969	$6,593.18	$1,215	$7,889.87	0.93×	$14,471
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	$23,369	$5,141.13	$1,215	$6,650.01	1.00×	$11,286
AMI discharged alive w MCC	MS-DRG	280	15	$44,697	$9,833.33	$1,397	$13,469	0.86×	$37,545
AMI discharged alive w CC	MS-DRG	281	15	$46,815	$10,299	$1,397	$8,681.03	0.90×	$28,456
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	$57,502	$12,650	$1,215	$7,311.16	0.94×	$27,513
Heart failure & shock w MCC	MS-DRG	291	16	$33,249	$7,314.8	$1,397	$11,230	0.88×	$23,052
Heart failure & shock w CC	MS-DRG	292	5	$15,149	$3,332.87	$51	$1,129	0.13×	$13,089
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	$18,779	$4,131.45	$1,215	$6,213.17	1.0×	$10,163
Cardiac arrhythmia w MCC	MS-DRG	308	15	$37,609	$8,274.01	$1,397	$10,672	0.88×	$26,575
Cardiac arrhythmia w CC	MS-DRG	309	15	$26,190	$5,761.76	$1,215	$7,399.22	0.95×	$15,604
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	$20,152	$4,433.44	$1,215	$6,213.88	1.0×	$11,327
GI hemorrhage w CC	MS-DRG	378	15	$36,723	$8,079.03	$1,215	$9,111.56	0.91×	$17,610
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	$26,731	$5,880.86	$1,215	$6,663.26	0.97×	$11,320
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	$25,328	$5,572.06	$1,397	$7,706.05	0.96×	$13,999
Fractures of femur w/o MCC	MS-DRG	533	15	$31,402	$6,908.51	$1,397	$13,214	0.87×	$49,298
Kidney/UTI w MCC	MS-DRG	689	15	$30,457	$6,700.57	$1,397	$10,367	0.89×	$20,835
Kidney/UTI w/o MCC	MS-DRG	690	5	$26,351	$5,797.11	$51	$1,129	0.14×	$12,480
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	5	$54,743	$12,044	$50	$1,226.5	0.07×	$29,948
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	$31,988	$7,037.47	$1,397	$9,409.29	0.91×	$18,375
Hospital discharge, <30 min	CPT	99238	12	$241	$53.02	$51.82	$73.82	0.86×	$73.82
lab
Basic metabolic panel (BMP)	CPT	80048	14	$95	$20.9	$3.55	$8.46	0.26×	$51.78
General health panel	CPT	80050	5	$150	$33	$19.86	$20.2	0.19×	$189.73
Electrolyte panel	CPT	80051	14	$80	$17.6	$2.94	$7.01	0.29×	$43.6
Comprehensive metabolic panel	CPT	80053	14	$120	$26.4	$4.44	$10.56	0.24×	$65.4
Lipid panel	CPT	80061	14	$184	$40.48	$5.62	$13.39	0.35×	$100.28
Renal function panel	CPT	80069	14	$95	$20.9	$3.65	$8.68	0.32×	$51.78
Hepatic function panel	CPT	80076	14	$95	$20.9	$3.43	$8.17	0.31×	$51.78
Urinalysis non-automated	CPT	81002	14	$35	$7.7	$1.46	$3.48	0.50×	$19.08
Urinalysis automated	CPT	81003	14	$31	$6.82	$1.64	$2.25	0.16×	$16.9
Glucose quantitative	CPT	82947	14	$55	$12.1	$1.65	$3.93	0.22×	$29.98
Hemoglobin A1c	CPT	83036	15	$811	$178.42	$4.08	$9.71	0.36×	$113.54
Thyroid stimulating hormone (TSH)	CPT	84443	14	$232	$51.04	$7.06	$16.8	0.36×	$126.44
Complete blood count with automated differential	CPT	85025	14	$108	$23.76	$3.26	$7.77	0.29×	$58.86
Complete blood count without differential	CPT	85027	14	$91	$20.02	$2.72	$6.47	0.30×	$49.6
Urine culture bacterial	CPT	87086	14	$111	$24.42	$3.39	$8.07	0.35×	$60.5
Urine culture identification	CPT	87088	14	$111	$24.42	$3.4	$8.09	0.36×	$60.5
Tissue exam by pathologist level IV	CPT	88305	16	$12,870	$2,831.33	$17.28	$122.52	1.2×	$3,626.38
maternity
Fetal non-stress test	CPT	59025	14	$778	$171.16	$12.8	$184.21	0.98×	$2,010
Routine obstetric care including vaginal delivery	CPT	59400	12	$2,231	$490.82	$12.8	$2,120.43	0.92×	$2,120.43
Vaginal delivery only	CPT	59409	15	$15,008	$3,301.81	$12.8	$2,911.5	1.3×	$16,786
C-section delivery only	CPT	59514	12	$8,504	$1,870.88	$297	$788.79	0.82×	$2,055.13
office
Office visit, new patient, 15-29 min	CPT	99202	14	$257	$56.54	$34.48	$42.91	0.50×	$123.62
Office visit, new patient, 30-44 minutes	CPT	99203	14	$281	$61.82	$44.87	$74.57	0.61×	$135.16
Office visit, new patient, 45-59 min	CPT	99204	14	$339	$74.58	$56.79	$121.65	0.70×	$163.06
Office visit, new patient, 60-74 min	CPT	99205	14	$409	$89.98	$12	$165.28	0.75×	$196.73
Office visit, established patient, 5 min	CPT	99211	14	$173	$38.06	$7.29	$8.03	0.12×	$93.59
Office visit, established patient, 10-19 min	CPT	99212	14	$257	$56.54	$24.52	$32.22	0.40×	$123.62
Office visit, established patient, 20-29 minutes	CPT	99213	14	$281	$61.82	$34.48	$60.33	0.53×	$135.16
Office visit, established patient, 30-39 minutes	CPT	99214	14	$339	$74.58	$44.87	$88.8	0.58×	$163.06
Office visit, established patient, 40-54 min	CPT	99215	14	$409	$89.98	$56.79	$131.36	0.70×	$196.73
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$10,886	$2,394.99	$250	$858.52	0.94×	$2,439
Upper GI endoscopy with biopsy	CPT	43239	16	$12,559	$2,763.03	$297	$858.52	0.89×	$3,463
Sigmoidoscopy diagnostic	CPT	45330	15	$9,923.79	$2,183.23	$250	$834.85	0.99×	$1,742.87
Sigmoidoscopy with biopsy	CPT	45331	16	$10,116	$2,225.48	$250	$834.85	0.93×	$2,439
Colonoscopy diagnostic	CPT	45378	16	$7,880.16	$1,733.64	$250	$834.85	0.95×	$3,463
Colonoscopy with biopsy	CPT	45380	16	$8,984.14	$1,976.51	$250	$1,079.68	0.89×	$3,463
Colonoscopy with polyp removal	CPT	45385	16	$8,981.56	$1,975.94	$250	$1,079.68	0.90×	$3,463
surgery
Total shoulder arthroplasty	CPT	23472	15	$71,161	$15,655	$232.56	$16,613	4.0×	$35,155
Total hip replacement	CPT	27130	15	$57,522	$12,655	$297	$11,782	2.7×	$24,597
Total knee replacement	CPT	27447	15	$53,410	$11,750	$297	$11,782	2.8×	$24,597
Knee revision arthroplasty single component	CPT	27486	15	$40,044	$8,809.75	$250	$1,256.74	0.75×	$16,556
Knee revision arthroplasty all components	CPT	27487	15	$122,832	$27,023	$250	$1,564.42	0.78×	$16,556
Shoulder arthroscopy with decompression	CPT	29826	16	$41,079	$9,037.38	$50	$5,850.05	17.9×	$13,656
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	$41,079	$9,037.38	$50	$6,541.51	2.0×	$13,656
Knee arthroscopy with meniscectomy	CPT	29881	16	$20,779	$4,571.44	$297	$2,971.09	1.5×	$6,202.56
ACL reconstruction	CPT	29888	16	$56,598	$12,452	$297	$6,541.51	2.0×	$13,656
Major small/large bowel procedures w MCC	MS-DRG	329	15	$152,479	$33,545	$1,397	$34,383	0.80×	$82,536
Major small/large bowel procedures w CC	MS-DRG	330	15	$86,046	$18,930	$1,397	$19,012	0.82×	$43,045
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	$56,252	$12,375	$1,397	$14,019	0.85×	$30,219
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	15	$66,345	$14,596	$1,215	$14,080	0.85×	$35,299
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	$57,337	$12,614	$1,397	$11,803	0.87×	$24,525
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	15	$175,855	$38,688	$1,397	$26,070	0.81×	$61,179
Laparoscopic appendectomy	CPT	44970	15	$23,490	$5,167.83	$297	$5,342.52	3.4×	$11,153
Major joint replacement w MCC	MS-DRG	469	15	$99,795	$21,955	$1,397	$23,457	0.79×	$60,789
Major joint replacement w/o MCC	MS-DRG	470	15	$64,995	$14,299	$1,215	$15,739	0.83×	$51,150
Laparoscopic cholecystectomy	CPT	47562	15	$26,468	$5,822.85	$297	$5,342.52	3.0×	$11,153
Lap cholecystectomy with cholangiography	CPT	47563	15	$24,289	$5,343.48	$297	$5,342.52	2.8×	$11,153
Hip & femur procedures except major joint w MCC	MS-DRG	480	15	$106,662	$23,466	$1,397	$22,612	0.81×	$52,638
Hip & femur procedures except major joint w CC	MS-DRG	481	15	$85,491	$18,808	$1,397	$17,403	0.86×	$46,798
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	15	$65,838	$14,484	$1,397	$14,066	0.88×	$35,368
Lap inguinal hernia repair	CPT	49650	16	$35,167	$7,736.79	$297	$5,342.52	4.7×	$13,076
Total abdominal hysterectomy	CPT	58150	14	$33,945	$7,467.79	$250	$914.97	0.94×	$3,707
Vaginal hysterectomy	CPT	58260	16	$44,834	$9,863.43	$297	$4,128.12	2.3×	$9,436.77
Lap-assisted vaginal hysterectomy	CPT	58550	16	$55,252	$12,155	$297	$5,342.52	3.6×	$11,153
Lap-assisted vaginal hysterectomy >250g	CPT	58552	15	$40,845	$8,985.84	$297	$9,273	4.2×	$19,132
Lap salpingo-oophorectomy	CPT	58661	16	$97,338	$21,414	$250	$5,342.52	2.6×	$13,076
OR procedure for obesity w MCC	MS-DRG	619	16	$82,910	$18,240	$1,397	$22,774	0.84×	$52,847
OR procedure for obesity w CC	MS-DRG	620	16	$51,891	$11,416	$1,215	$13,644	0.84×	$38,233
OR procedure for obesity w/o CC/MCC	MS-DRG	621	16	$35,074	$7,716.24	$1,215	$13,190	0.87×	$32,707
Complex cataract surgery	CPT	66982	16	$18,606	$4,093.32	$297	$2,088.46	0.94×	$6,652
Cataract surgery with lens implant	CPT	66984	16	$17,619	$3,876.1	$297	$3,490.02	1.6×	$7,690.3
Vitrectomy mechanical	CPT	67042	15	$22,786	$5,012.88	$297	$3,683.73	1.5×	$7,690.3
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	15	$44,031	$9,686.83	$1,215	$10,929	0.89×	$22,278
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	15	$143,019	$31,464	$1,397	$16,579	0.87×	$36,794
PCI single major coronary artery	CPT	92920	15	$21,961	$4,831.42	$50	$5,220.88	0.92×	$10,899
PCI with drug-eluting stent	CPT	92928	15	$33,359	$7,338.98	$50	$9,840.95	0.98×	$21,679
PCI bypass graft	CPT	92937	15	$33,359	$7,338.98	$50	$9,840.95	0.91×	$21,679
Left heart catheterization	CPT	93452	15	$27,546	$6,060.12	$50	$2,945.27	0.95×	$6,148.66
Coronary angiography with cath	CPT	93455	15	$35,583	$7,828.26	$50	$2,945.27	0.94×	$6,148.66
Coronary angiography with bypass cath	CPT	93458	15	$35,451	$7,799.22	$50	$2,945.27	0.95×	$6,148.66

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 17)

Payer	Codes covered	Median rate
Medicaid	179	$250
Cigna	179	$553.67
UnitedHealthcare	179	$610.96
transplant optum tenncare [350013]	174	$269.35
Blue Cross Blue Shield	173	$588
Medicare	168	$446
Medicare Advantage	168	$446
american health advantage mcr adv [450117]	168	$446
carecentrix [450200]	168	$446
devoted health [450111]	168	$459.38
generic hospice vbid [10940000101]	168	$446
Humana	168	$446
va hospital [600005]	168	$446
TRICARE	137	$810.88
Molina	134	$181.55
health plans inc [100282]	36	$12,720
langston performance health [100405]	21	$3,463

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