00255 — Level IV Ear, Nose, Mouth And Throat Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES (EAPG 00255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00255?code_type=EAPG
MLA (9th ed.)
“LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES (EAPG 00255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00255?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES (EAPG 00255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00255?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,006–$4,381 (25th–75th percentile) across 56 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00255 — 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 Regional Hospital South OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $8.92 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $8.92 | — | — | 2026-05-27 | MRF ↗ |
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $9.29 | — | — | 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 MIRAMAR OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $1,312.01 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $1,312.01 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $1,312.01 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $1,312.01 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $1,312.01 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $1,312.01 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $1,312.01 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $1,377.62 | — | — | 2026-04-28 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Molina Healthcare of OH | Medicaid OOS/Medicare | $1,712.61 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Buckeye Health | Medicaid OOS | $1,712.61 | — | — | 2026-02-18 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,056.82 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $2,056.82 | — | — | 2025-05-17 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $2,110.64 | — | — | 2025-07-21 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | CareSource | OH MA | $2,110.64 | — | — | 2026-03-06 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $2,110.64 | — | — | 2025-07-21 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,118.52 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $2,118.52 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $2,139.09 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,139.09 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $2,159.66 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,159.66 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $2,159.66 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,159.66 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $2,159.66 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $2,159.66 | — | — | 2025-05-17 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UHC Medicaid OH | Medicaid | $2,279.43 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UHC Medicaid OH | Medicaid | $2,279.43 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UHC Medicaid OH | Medicaid | $2,279.43 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | UHC Medicaid OH | Medicaid | $2,279.43 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicaid HMO | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Cook Children's Health Plan (CCHP) | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Badgercare/Employee Trust Funds/QHP | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Dean Health | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Independent Care Health Plan | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Medicaid | $2,350.97 | — | — | 2026-04-02 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | OH Medicaid | $2,412.36 | — | — | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Aetna | CHP/Medicaid | $2,412.36 | — | — | 2026-01-23 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $2,427.19 | — | — | 2026-09-08 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Managed Health Services | Medicaid | $2,445.02 | — | — | 2026-04-02 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,525.60 | — | — | 2026-09-23 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $2,689.63 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $2,689.63 | — | — | 2026-04-28 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellpath | Managed Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Health Value Management | Transplants - Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellpath | Managed Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellpath | Managed Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Health Value Management | Transplants - Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellpath | Managed Medicaid | $2,862.53 | — | — | 2026-05-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $2,952.01 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $2,952.01 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $2,952.01 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $2,952.01 | — | — | 2026-04-28 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Transplant - Medicaid | $2,977.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Transplant - Medicaid | $2,977.03 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Transplant - Medicaid | $2,977.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Transplant - Medicaid | $2,977.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Florida Community Care | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Humana | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Freedom | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Humana | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Humana | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Florida Community Care | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Freedom | Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Humana | FL Medicaid | $3,005.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | FL Medicaid | $3,034.26 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellcare | FL Medicaid | $3,034.26 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | FL Medicaid | $3,034.26 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | FL Medicaid | $3,034.26 | — | — | 2026-05-27 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $3,077.56 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Optum | Medicaid | $3,077.56 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | FL Medicaid | $3,148.77 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | FL Medicaid | $3,148.77 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | FL Medicaid | $3,148.77 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | FL Medicaid | $3,148.77 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | United Healthcare | Medicaid | $3,148.78 | — | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Medicaid | $3,169.89 | — | — | 2025-07-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $3,231.44 | — | — | 2026-03-06 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Simply Healthcare | Medicaid | $3,291.91 | — | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MyCompass | Medicaid | $3,323.76 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $3,335.21 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $3,335.21 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $3,335.21 | — | — | 2026-10-12 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Managed Medicaid, Child Health Plus, Health & Recovery Plans | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Managed Medicaid | $3,335.85 | — | — | 2026-02-19 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,365.79 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,382.21 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,415.05 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,415.05 | — | — | 2025-05-15 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Florida Health Kids | $3,435.01 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Florida Health Kids | $3,435.01 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Florida Health Kids | $3,435.01 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Florida Health Kids | $3,435.01 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Managed Medicaid | $3,435.04 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | Medicaid | $3,435.04 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Healthy Kids Medicaid | $3,435.04 | — | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,447.89 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,447.89 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,447.89 | — | — | 2025-05-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Managed Medicaid | $3,502.67 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $3,502.67 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Child Health Plus | $3,502.67 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $3,502.67 | — | — | 2026-02-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,563.08 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,580.47 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,615.23 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,615.23 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $3,620.36 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,623.35 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $3,638.02 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,638.02 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,638.02 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,649.99 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,649.99 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,649.99 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,658.87 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $3,658.87 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,673.34 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,673.34 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,673.34 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,673.34 | — | — | 2025-05-16 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $3,693.07 | — | — | 2026-03-06 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,694.39 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,694.39 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,708.66 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $3,709.60 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3,729.92 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $3,729.92 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,742.48 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,742.48 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,764.33 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,778.82 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,778.82 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,815.15 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,815.15 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,815.15 | — | — | 2025-05-18 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,815.78 | — | — | 2026-03-02 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $3,818.83 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $3,818.83 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $3,818.83 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Unitedhealthcare] | [Medicaid] | $3,913.12 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Meridian] | [Medicaid] | $3,913.12 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Anthem] | [Medicaid] | $3,913.12 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Caresource] | [Medicaid] | $3,913.12 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Aetna Medicaid] | [Better Health] | $3,913.12 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Humana Behavior Health] | [Medicaid] | $4,030.51 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Amerihealth Caritas] | [Medicaid] | $4,030.51 | — | — | 2026-07-15 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $4,064.33 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $4,064.33 | — | — | 2026-03-02 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,069.02 | — | — | 2025-05-19 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Molina] | [Medicaid] | $4,108.78 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Buckeye Community Health Plan] | [Medicaid] | $4,108.78 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $4,108.92 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,108.92 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $4,148.81 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4,148.81 | — | — | 2025-05-19 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $4,154.71 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4,188.70 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $4,188.70 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,277.54 | — | — | 2025-05-16 | 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.