00058 — Level Ii Shoulder And Upper Arm Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 00058) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00058?code_type=EAPG
MLA (9th ed.)
“LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 00058) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00058?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 00058) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00058?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,117–$8,005 (25th–75th percentile) across 53 hospitals · 47 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00058 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $19.43 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $19.43 | — | — | 2026-05-27 | MRF ↗ |
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $20.24 | — | — | 2026-02-03 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Buckeye Health | Medicaid OOS | $1,140.83 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Molina Healthcare of OH | Medicaid OOS/Medicare | $1,140.83 | — | — | 2026-02-18 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Badgercare/Employee Trust Funds/QHP | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicaid HMO | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Independent Care Health Plan | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Dean Health | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Cook Children's Health Plan (CCHP) | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Medicaid | $1,566.06 | — | — | 2026-04-02 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Aetna | CHP/Medicaid | $1,606.95 | — | — | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | OH Medicaid | $1,606.95 | — | — | 2026-01-23 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Managed Health Services | Medicaid | $1,628.70 | — | — | 2026-04-02 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $2,051.00 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $2,153.55 | — | — | 2026-03-06 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Managed Medicaid, Child Health Plus, Health & Recovery Plans | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,222.11 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,222.70 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,222.70 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,222.70 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,333.24 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,333.24 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Managed Medicaid | $2,333.24 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Child Health Plus | $2,333.24 | — | — | 2026-02-19 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $2,461.20 | — | — | 2026-03-06 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,541.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,707.38 | — | — | 2026-03-02 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,707.38 | — | — | 2026-03-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $2,768.85 | — | — | 2026-03-06 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,793.57 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,793.57 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,793.57 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,793.57 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,793.57 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $2,793.57 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,793.57 | — | — | 2026-09-08 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $2,876.67 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $2,876.67 | — | — | 2026-02-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,933.27 | — | — | 2026-04-28 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,327.14 | — | — | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Molina Healthcare | Medicaid/CHIP | — | — | — | 2026-03-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Medicaid | $3,403.43 | — | — | 2026-03-06 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $3,997.25 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,997.25 | — | — | 2025-05-16 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | CareSource | OH MA | $4,101.83 | — | — | 2026-03-06 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $4,101.83 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $4,101.83 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $4,117.17 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $4,117.17 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4,157.14 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $4,157.14 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $4,197.11 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $4,197.11 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $4,197.11 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,197.11 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,197.11 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $4,197.11 | — | — | 2025-05-16 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | UHC Medicaid OH | Medicaid | $4,429.87 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UHC Medicaid OH | Medicaid | $4,429.87 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UHC Medicaid OH | Medicaid | $4,429.87 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UHC Medicaid OH | Medicaid | $4,429.87 | — | — | 2026-03-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Essential Plans | $4,555.35 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Essential Plans | $4,555.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $4,555.35 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Essential Plans | $4,555.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $4,556.53 | — | — | 2026-10-12 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | Essential Plan | $4,614.75 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Essential Plan | $4,614.75 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $4,614.75 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Essential Plan | $4,614.75 | — | — | 2026-03-06 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Essential Plans | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Essential Plans | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Non-Aliessa Managed Medicaid | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $4,999.72 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $5,001.07 | — | — | 2026-10-12 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $5,168.03 | — | — | 2026-09-08 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $5,377.58 | — | — | 2026-09-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $5,726.83 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $5,726.83 | — | — | 2026-09-08 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellpath | Managed Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellpath | Managed Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellpath | Managed Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Health Value Management | Transplants - Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellpath | Managed Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Health Value Management | Transplants - Medicaid | $6,236.75 | — | — | 2026-05-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $6,285.48 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $6,285.48 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $6,285.48 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $6,285.48 | — | — | 2026-04-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Transplant - Medicaid | $6,486.22 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Transplant - Medicaid | $6,486.22 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Transplant - Medicaid | $6,486.22 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Transplant - Medicaid | $6,486.22 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,541.11 | — | — | 2025-05-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Florida Community Care | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Humana | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Freedom | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Humana | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Humana | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Florida Community Care | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Freedom | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Humana | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | FL Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom | Medicaid | $6,548.57 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,573.02 | — | — | 2025-05-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | FL Medicaid | $6,610.90 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | FL Medicaid | $6,610.90 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | FL Medicaid | $6,610.90 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellcare | FL Medicaid | $6,610.90 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,636.83 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,636.83 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6,700.65 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6,700.65 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $6,700.65 | — | — | 2025-05-15 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | FL Medicaid | $6,860.39 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | FL Medicaid | $6,860.39 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | FL Medicaid | $6,860.39 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | FL Medicaid | $6,860.39 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | United Healthcare | Medicaid | $6,860.43 | — | — | 2026-03-25 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,924.53 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,958.31 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $7,025.87 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7,025.87 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $7,035.85 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $7,041.64 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $7,070.17 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $7,070.17 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $7,070.17 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,093.42 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $7,093.42 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7,093.42 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $7,110.68 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $7,110.68 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7,138.81 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $7,138.81 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $7,138.81 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7,138.81 | — | — | 2025-05-16 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Simply Healthcare | Medicaid | $7,172.26 | — | — | 2026-03-25 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $7,179.71 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7,179.71 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,207.45 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $7,209.27 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $7,248.75 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $7,248.75 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7,273.18 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $7,273.18 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,315.63 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7,343.79 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $7,343.79 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $7,414.41 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,414.41 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $7,414.41 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $7,421.55 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $7,421.55 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $7,421.55 | — | — | 2025-10-03 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Florida Health Kids | $7,484.04 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Florida Health Kids | $7,484.04 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Florida Health Kids | $7,484.04 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Florida Health Kids | $7,484.04 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Managed Medicaid | $7,484.10 | — | — | 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.