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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$2,369.43 – $19,887

Negotiated median

$3,963.6

CPT 59510 Routine obstetric care with C-section · Showing 200 of 331 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
WASHINGTON COUNTY HOSPITAL	IA	trilogy	Commercial	outpatient	negotiated	$19,887
WASHINGTON COUNTY HOSPITAL	IA	wisconsin physician service	Arise	outpatient	negotiated	$19,394
WASHINGTON COUNTY HOSPITAL	IA	wisconsin physician service	Statewide	outpatient	negotiated	$19,394
WASHINGTON COUNTY HOSPITAL	IA	aurora caregiver	Commercial	outpatient	negotiated	$19,140
WASHINGTON COUNTY HOSPITAL	IA	wisconsin physician service	Aurora Featured	outpatient	negotiated	$18,424
WASHINGTON COUNTY HOSPITAL	IA	quartz group	Commercial	outpatient	negotiated	$18,250
WASHINGTON COUNTY HOSPITAL	IA	centivo	Commercial	outpatient	negotiated	$18,030
WASHINGTON COUNTY HOSPITAL	IA	health payment systems	Commercial	outpatient	negotiated	$17,900
WASHINGTON COUNTY HOSPITAL	IA	hs technology	Commercial	outpatient	negotiated	$17,445
WASHINGTON COUNTY HOSPITAL	IA	Molina	Commercial	outpatient	negotiated	$15,818
WASHINGTON COUNTY HOSPITAL	IA	quartz one	Commercial	outpatient	negotiated	$15,600
WASHINGTON COUNTY HOSPITAL	IA	everpointe elite	Commercial	outpatient	negotiated	$14,688
WASHINGTON COUNTY HOSPITAL	IA	common ground	Employee Trust Fund	outpatient	negotiated	$14,619
WASHINGTON COUNTY HOSPITAL	IA	common ground	Exchange	outpatient	negotiated	$14,619
WASHINGTON COUNTY HOSPITAL	IA	common ground	Envision	outpatient	negotiated	$14,619
WASHINGTON COUNTY HOSPITAL	IA	Aetna	HMO	outpatient	negotiated	$14,482
THE FINLEY HOSPITAL	IA	bc illinois community	Blue Choice	outpatient	negotiated	$10,758
TRINITY MUSCATINE	IA	bc illinois community	PPO	outpatient	negotiated	$10,758
TRINITY MUSCATINE	IA	bc illinois community	Blue Choice	outpatient	negotiated	$10,758
THE FINLEY HOSPITAL	IA	bc illinois community	PPO	outpatient	negotiated	$10,758
WASHINGTON COUNTY HOSPITAL	IA	Anthem BCBS	Blue Preferred	outpatient	negotiated	$7,344
COMMUNITY MEM. HOSPT. SUMMER	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
COMMUNITY MEM. HOSPT. SUMMER	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
ALLEN MEMORIAL HOSPITAL	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
ALLEN MEMORIAL HOSPITAL	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
JONES REGIONAL MEDICAL CTR	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
ST. LUKES REGL MEDICAL CENTER	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
ST. LUKES REGL MEDICAL CENTER	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
JONES REGIONAL MEDICAL CTR	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
GRINNELL REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
IOWA LUTHERAN HOSPITAL	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
IOWA LUTHERAN HOSPITAL	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
IOWA METHODIST MEDICAL CENTER	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
TRINITY BETTENDORF	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
GRUNDY COUNTY MEM. HOSPITAL	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
TRINITY BETTENDORF	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
GRUNDY COUNTY MEM. HOSPITAL	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
TRINITY MUSCATINE	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
TRINITY REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
TRINITY MUSCATINE	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
TRINITY REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
IOWA METHODIST MEDICAL CENTER	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
GRINNELL REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
ST. LUKES METHODIST HOSPITAL	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
UNITYPOINT HEALTH-MARSHALLTOWN	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
ST. LUKES METHODIST HOSPITAL	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
THE FINLEY HOSPITAL	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
UNITYPOINT HEALTH-MARSHALLTOWN	IA	UnitedHealthcare	HMO	both	negotiated	$5,923.56
THE FINLEY HOSPITAL	IA	UnitedHealthcare	PPO	both	negotiated	$5,923.56
TRINITY BETTENDORF	IA	Cigna	Commercial	both	negotiated	$5,892.65
ALLEN MEMORIAL HOSPITAL	IA	Cigna	Commercial	both	negotiated	$5,892.65
JONES REGIONAL MEDICAL CTR	IA	Cigna	Commercial	both	negotiated	$5,892.65
TRINITY MUSCATINE	IA	Cigna	Commercial	both	negotiated	$5,892.65
GRINNELL REGIONAL MEDICAL CENTER	IA	Cigna	Commercial	both	negotiated	$5,892.65
GRUNDY COUNTY MEM. HOSPITAL	IA	Cigna	Commercial	both	negotiated	$5,892.65
TRINITY REGIONAL MEDICAL CENTER	IA	Cigna	Commercial	both	negotiated	$5,892.65
IOWA LUTHERAN HOSPITAL	IA	Cigna	Commercial	both	negotiated	$5,892.65
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Cigna	Commercial	both	negotiated	$5,892.65
ST. LUKES REGL MEDICAL CENTER	IA	Cigna	Commercial	both	negotiated	$5,892.65
COMMUNITY MEM. HOSPT. SUMMER	IA	Cigna	Commercial	both	negotiated	$5,892.65
ST. LUKES METHODIST HOSPITAL	IA	Cigna	Commercial	both	negotiated	$5,892.65
THE FINLEY HOSPITAL	IA	Cigna	Commercial	both	negotiated	$5,892.65
IOWA METHODIST MEDICAL CENTER	IA	Cigna	Commercial	both	negotiated	$5,892.65
WASHINGTON COUNTY HOSPITAL	IA	Anthem BCBS	Blue Priority	outpatient	negotiated	$5,692
THE FINLEY HOSPITAL	IA	dean health plan	HMO	both	negotiated	$5,450.08
JONES REGIONAL MEDICAL CTR	IA	Aetna	PPO	both	negotiated	$4,577.08
ALLEN MEMORIAL HOSPITAL	IA	Aetna	PPO	both	negotiated	$4,577.08
GRUNDY COUNTY MEM. HOSPITAL	IA	Aetna	PPO	both	negotiated	$4,577.08
IOWA LUTHERAN HOSPITAL	IA	Aetna	PPO	both	negotiated	$4,577.08
COMMUNITY MEM. HOSPT. SUMMER	IA	Aetna	PPO	both	negotiated	$4,577.08
TRINITY REGIONAL MEDICAL CENTER	IA	Aetna	PPO	both	negotiated	$4,577.08
IOWA METHODIST MEDICAL CENTER	IA	Aetna	PPO	both	negotiated	$4,577.08
THE FINLEY HOSPITAL	IA	Aetna	PPO	both	negotiated	$4,577.08
ST. LUKES REGL MEDICAL CENTER	IA	Aetna	PPO	both	negotiated	$4,577.08
GRINNELL REGIONAL MEDICAL CENTER	IA	Aetna	PPO	both	negotiated	$4,577.08
ST. LUKES METHODIST HOSPITAL	IA	Aetna	PPO	both	negotiated	$4,577.08
TRINITY MUSCATINE	IA	Aetna	PPO	both	negotiated	$4,577.08
TRINITY BETTENDORF	IA	Aetna	PPO	both	negotiated	$4,577.08
GRUNDY COUNTY MEM. HOSPITAL	IA	Aetna	HMO	both	negotiated	$4,303.6
ALLEN MEMORIAL HOSPITAL	IA	Aetna	HMO	both	negotiated	$4,303.6
THE FINLEY HOSPITAL	IA	medical associates health plan	HMO	both	negotiated	$4,297.49
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Aetna	HMO	both	negotiated	$4,219.22
JONES REGIONAL MEDICAL CTR	IA	Aetna	HMO	both	negotiated	$4,219.22
IOWA LUTHERAN HOSPITAL	IA	Aetna	HMO	both	negotiated	$4,219.22
THE FINLEY HOSPITAL	IA	Aetna	HMO	both	negotiated	$4,219.22
TRINITY MUSCATINE	IA	Aetna	HMO	both	negotiated	$4,219.22
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Aetna	PPO	both	negotiated	$4,219.22
COMMUNITY MEM. HOSPT. SUMMER	IA	Aetna	HMO	both	negotiated	$4,219.22
TRINITY REGIONAL MEDICAL CENTER	IA	Aetna	HMO	both	negotiated	$4,219.22
GRINNELL REGIONAL MEDICAL CENTER	IA	Aetna	HMO	both	negotiated	$4,219.22
IOWA METHODIST MEDICAL CENTER	IA	Aetna	HMO	both	negotiated	$4,219.22
TRINITY BETTENDORF	IA	Aetna	HMO	both	negotiated	$4,219.22
ST. LUKES METHODIST HOSPITAL	IA	Aetna	HMO	both	negotiated	$4,219.22
ST. LUKES REGL MEDICAL CENTER	IA	Aetna	HMO	both	negotiated	$4,219.22
TRINITY MUSCATINE	IA	bc illinois community	PPO	both	negotiated	$4,039.6
THE FINLEY HOSPITAL	IA	bc illinois community	PPO	both	negotiated	$4,039.6
GRINNELL REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
IOWA LUTHERAN HOSPITAL	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
TRINITY MUSCATINE	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
ST. LUKES REGL MEDICAL CENTER	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
JONES REGIONAL MEDICAL CTR	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
COMMUNITY MEM. HOSPT. SUMMER	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
ALLEN MEMORIAL HOSPITAL	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
ST. LUKES METHODIST HOSPITAL	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
GRUNDY COUNTY MEM. HOSPITAL	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
THE FINLEY HOSPITAL	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
IOWA METHODIST MEDICAL CENTER	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
TRINITY BETTENDORF	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
TRINITY REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	PPO	both	negotiated	$3,963.6
ALLEN MEMORIAL HOSPITAL	IA	health partners open network	Commercial	both	negotiated	$3,666.23
TRINITY BETTENDORF	IA	health partners open network	Commercial	both	negotiated	$3,666.23
IOWA LUTHERAN HOSPITAL	IA	health partners open network	Commercial	both	negotiated	$3,666.23
TRINITY MUSCATINE	IA	health partners open network	Commercial	both	negotiated	$3,666.23
GRUNDY COUNTY MEM. HOSPITAL	IA	health partners open network	Commercial	both	negotiated	$3,666.23
GRINNELL REGIONAL MEDICAL CENTER	IA	health partners open network	Commercial	both	negotiated	$3,666.23
UNITYPOINT HEALTH-MARSHALLTOWN	IA	health partners open network	Commercial	both	negotiated	$3,666.23
THE FINLEY HOSPITAL	IA	health partners open network	Commercial	both	negotiated	$3,666.23
JONES REGIONAL MEDICAL CTR	IA	health partners open network	Commercial	both	negotiated	$3,666.23
TRINITY REGIONAL MEDICAL CENTER	IA	health partners open network	Commercial	both	negotiated	$3,666.23
ST. LUKES REGL MEDICAL CENTER	IA	health partners open network	Commercial	both	negotiated	$3,666.23
COMMUNITY MEM. HOSPT. SUMMER	IA	health partners open network	Commercial	both	negotiated	$3,666.23
ST. LUKES METHODIST HOSPITAL	IA	health partners open network	Commercial	both	negotiated	$3,666.23
IOWA METHODIST MEDICAL CENTER	IA	health partners open network	Commercial	both	negotiated	$3,666.23
THE FINLEY HOSPITAL	IA	bc illinois community	Blue Choice	both	negotiated	$3,393.26
TRINITY MUSCATINE	IA	bc illinois community	Blue Choice	both	negotiated	$3,393.26
TRINITY REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
THE FINLEY HOSPITAL	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
IOWA LUTHERAN HOSPITAL	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
IOWA LUTHERAN HOSPITAL	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
GRUNDY COUNTY MEM. HOSPITAL	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
GRINNELL REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
ST. LUKES REGL MEDICAL CENTER	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
TRINITY BETTENDORF	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
THE FINLEY HOSPITAL	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
ST. LUKES REGL MEDICAL CENTER	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
JONES REGIONAL MEDICAL CTR	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
GRINNELL REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
ST. LUKES METHODIST HOSPITAL	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
ST. LUKES METHODIST HOSPITAL	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
GRUNDY COUNTY MEM. HOSPITAL	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
TRINITY BETTENDORF	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
ALLEN MEMORIAL HOSPITAL	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
ALLEN MEMORIAL HOSPITAL	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
TRINITY MUSCATINE	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
JONES REGIONAL MEDICAL CTR	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
COMMUNITY MEM. HOSPT. SUMMER	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
COMMUNITY MEM. HOSPT. SUMMER	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
TRINITY MUSCATINE	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
IOWA METHODIST MEDICAL CENTER	IA	Blue Cross Blue Shield	Commercial	both	negotiated	$3,369.1
IOWA METHODIST MEDICAL CENTER	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
TRINITY REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	HMO	both	negotiated	$3,369.1
THE FINLEY HOSPITAL	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
GRUNDY COUNTY MEM. HOSPITAL	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
GRUNDY COUNTY MEM. HOSPITAL	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
GRUNDY COUNTY MEM. HOSPITAL	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
UNITYPOINT HEALTH-MARSHALLTOWN	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
UNITYPOINT HEALTH-MARSHALLTOWN	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
TRINITY MUSCATINE	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
TRINITY MUSCATINE	IA	meridian health plan	Medicare Advantage	both	negotiated	$2,439.12
TRINITY MUSCATINE	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
TRINITY REGIONAL MEDICAL CENTER	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
TRINITY REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
IOWA LUTHERAN HOSPITAL	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
IOWA LUTHERAN HOSPITAL	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
IOWA LUTHERAN HOSPITAL	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
COMMUNITY MEM. HOSPT. SUMMER	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
COMMUNITY MEM. HOSPT. SUMMER	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES METHODIST HOSPITAL	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES METHODIST HOSPITAL	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES METHODIST HOSPITAL	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
IOWA METHODIST MEDICAL CENTER	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
IOWA METHODIST MEDICAL CENTER	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
IOWA METHODIST MEDICAL CENTER	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
COMMUNITY MEM. HOSPT. SUMMER	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
TRINITY BETTENDORF	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
TRINITY BETTENDORF	IA	meridian health plan	Medicare Advantage	both	negotiated	$2,439.12
TRINITY BETTENDORF	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
UNITYPOINT HEALTH-MARSHALLTOWN	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
JONES REGIONAL MEDICAL CTR	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
ALLEN MEMORIAL HOSPITAL	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
ALLEN MEMORIAL HOSPITAL	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
ALLEN MEMORIAL HOSPITAL	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
JONES REGIONAL MEDICAL CTR	IA	iowa health	Medicare Advantage	both	negotiated	$2,439.12
THE FINLEY HOSPITAL	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
THE FINLEY HOSPITAL	IA	meridian	MMAI (Medicare-Medicaid)	both	negotiated	$2,439.12
THE FINLEY HOSPITAL	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES REGL MEDICAL CENTER	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES REGL MEDICAL CENTER	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES REGL MEDICAL CENTER	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
GRINNELL REGIONAL MEDICAL CENTER	IA	amerivantage	Medicare Advantage	both	negotiated	$2,439.12
GRINNELL REGIONAL MEDICAL CENTER	IA	Humana	Medicare Advantage	both	negotiated	$2,439.12
GRINNELL REGIONAL MEDICAL CENTER	IA	UnitedHealthcare	Medicare Advantage	both	negotiated	$2,439.12
ST. LUKES REGL MEDICAL CENTER	IA	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$2,369.43
GRINNELL REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$2,369.43
TRINITY REGIONAL MEDICAL CENTER	IA	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$2,369.43
GRUNDY COUNTY MEM. HOSPITAL	IA	Molina	Medicare Advantage	both	negotiated	$2,369.43
IOWA METHODIST MEDICAL CENTER	IA	Molina	Medicare Advantage	both	negotiated	$2,369.43

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).