00267 — Other Craniotomy Procedures Including Cranioplasty
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY (EAPG 00267) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00267?code_type=EAPG
MLA (9th ed.)
“OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY (EAPG 00267) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00267?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY (EAPG 00267) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00267?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,142–$6,436 (25th–75th percentile) across 51 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00267 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $13.42 | — | — | 2026-02-03 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Buckeye Health | Medicaid OOS | $1,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Molina Healthcare of OH | Medicaid OOS/Medicare | $1,352.84 | — | — | 2026-02-18 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Dean Health | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Badgercare/Employee Trust Funds/QHP | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Cook Children's Health Plan (CCHP) | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicaid HMO | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Independent Care Health Plan | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid | $1,857.09 | — | — | 2026-04-02 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Aetna | CHP/Medicaid | $1,905.59 | — | — | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | OH Medicaid | $1,905.59 | — | — | 2026-01-23 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Managed Health Services | Medicaid | $1,931.38 | — | — | 2026-04-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $2,432.24 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $2,553.85 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $2,553.85 | — | — | 2026-03-06 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Child Health Plus | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Managed Medicaid, Child Health Plus, Health & Recovery Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Child Health Plus | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Managed Medicaid | $2,635.07 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Child Health Plus | $2,766.85 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,766.85 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Managed Medicaid | $2,766.85 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,766.85 | — | — | 2026-02-19 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $2,918.69 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $2,918.69 | — | — | 2026-03-06 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,014.18 | — | — | 2026-03-02 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $3,050.09 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,050.09 | — | — | 2025-05-16 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $3,129.89 | — | — | 2025-07-21 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | CareSource | OH MA | $3,129.89 | — | — | 2026-03-06 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $3,129.89 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,141.59 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $3,141.59 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,172.09 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,172.09 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,172.09 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,172.09 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $3,202.59 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $3,202.59 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $3,202.59 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,202.59 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,202.59 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,202.59 | — | — | 2025-05-16 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,210.52 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,210.52 | — | — | 2026-03-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $3,283.52 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $3,283.52 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | UHC Medicaid OH | Medicaid | $3,380.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UHC Medicaid OH | Medicaid | $3,380.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UHC Medicaid OH | Medicaid | $3,380.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UHC Medicaid OH | Medicaid | $3,380.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | UHC Medicaid OH | Medicaid | $3,380.20 | — | — | 2026-03-06 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $3,411.28 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $3,411.28 | — | — | 2026-02-27 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Beacon Health Strategies | Medicaid_Florida Healthy Kids | $3,933.92 | — | — | 2026-03-31 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,945.46 | — | — | 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 | $4,036.06 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Medicaid | $4,036.06 | — | — | 2026-03-06 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | United Healthcare | Medicaid | $4,549.50 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Simply Healthcare | Medicaid | $4,756.30 | — | — | 2026-03-25 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $4,874.81 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $4,874.81 | — | — | 2026-02-19 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Healthy Kids Medicaid | $4,963.09 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Managed Medicaid | $4,963.09 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | Medicaid | $4,963.09 | — | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,991.18 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,015.52 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,064.22 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,064.22 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,112.91 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,112.91 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,112.91 | — | — | 2025-05-15 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $5,258.79 | — | — | 2026-02-12 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,283.74 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,309.52 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,361.06 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,361.06 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $5,368.68 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $5,373.11 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,394.87 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $5,394.87 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,394.87 | — | — | 2025-05-16 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $5,401.92 | — | — | 2026-02-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,412.61 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,412.61 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,412.61 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $5,425.78 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $5,425.78 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,447.25 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,447.25 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,447.25 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,447.25 | — | — | 2025-05-16 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | Essential Plan | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Essential Plan | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | Essential Plan | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Essential Plan | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Essential Plan | $5,472.54 | — | — | 2026-03-06 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,478.46 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,478.46 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $5,499.63 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $5,501.01 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $5,531.14 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $5,531.14 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,549.77 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,549.77 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,582.17 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,603.66 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,603.66 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,657.54 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,657.54 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,657.54 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $5,662.99 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $5,662.99 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $5,662.99 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center OutpatientFacility | None | — | — | — | — | 2026-03-31 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Non-Aliessa Managed Medicaid | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $5,928.87 | — | — | 2026-02-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6,034.00 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,093.16 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,093.16 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,152.32 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,152.32 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $6,211.47 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6,211.47 | — | — | 2025-05-19 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $6,343.22 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,343.22 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,369.59 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $6,369.59 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,369.59 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $6,369.59 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,374.17 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | CareSource | Managed Medicaid | $6,374.17 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,431.43 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,431.43 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,431.43 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,431.43 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,436.05 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,436.05 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,436.05 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,436.05 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6,493.27 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6,493.27 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $6,493.27 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $6,493.27 | — | — | 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.