00635 — Anes Diagnostic/Therapeutic Lumbar Puncture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Anes Diagnostic/Therapeutic Lumbar Puncture (CPT 00635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00635?code_type=CPT
MLA (9th ed.)
“Anes Diagnostic/Therapeutic Lumbar Puncture (CPT 00635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00635?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Anes Diagnostic/Therapeutic Lumbar Puncture (CPT 00635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00635?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$1,100 (25th–75th percentile) across 236 hospitals · 939 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 00635 — 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 |
|---|---|---|---|---|---|---|---|
| BLESSING HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.51 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.51 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Blue Cross Blue Shield Illinois | Commercial | $0.52 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Blue Access | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | United Behavioral Health | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Private Healthcare Systems-Multi Plan Primary | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Blue Preferred | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Blue Cross Blue Shield Pathways | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Blue Cross Blue Shield Missouri | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Cigna | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Coventry (Aetna) | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Humana | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Health Link | Managed Care | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Private Healthcare Systems-Multi Plan Complementary | Commercial | $0.75 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | Health Link PPO | Commercial | $0.76 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $1.78 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | CIGNA COMM-ALL PLANS | CIGNA COMM-ALL PLANS | $1.78 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $2.07 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ENCORE ENCIRCLE | ENCORE ENCIRCLE | $2.07 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | IDAHO DSHS-ALL PLANS | IDAHO DSHS-ALL PLANS | $3.28 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $3.52 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | BEECH STREET COMM-ALL PLANS | BEECH STREET COMM-ALL PLANS | $3.52 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3.73 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | ANTHEM MCAID HHW | ANTHEM MCAID HHW | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | PASSPORT MCAID-ALL OTHER PLANS | PASSPORT MCAID-ALL OTHER PLANS | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MDWISE MCAID HHW/HCC - ALL OTHER PLANS | MDWISE MCAID HHW/HCC - ALL OTHER PLANS | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | MHS MCAID HHW/HCC | MHS MCAID HHW/HCC | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $4.14 | $4.14 | $2.48 | 2026-07-16 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $4.40 | $11.00 | $11.00 | 2026-07-09 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CORVEL - ALL PLANS | CORVEL - ALL PLANS | $5.40 | $6.00 | $6.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CORVEL - ALL PLANS | CORVEL - ALL PLANS | $5.40 | $6.00 | $6.00 | 2026-02-10 | MRF ↗ |
| SOUTH SUNFLOWER COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $5.53 | $6.50 | — | 2026-04-08 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $5.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS BLUE OPTIONS | BCBS BLUE OPTIONS | $5.95 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | BCBS KS VALUE BLUE | BCBS KS VALUE BLUE | $6.80 | $16.00 | $16.00 | 2026-01-07 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | ADMIN WSU STUDENT-ALL PLANS | ADMIN WSU STUDENT-ALL PLANS | $6.80 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $6.80 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | BCBS KS VALUE BLUE | BCBS KS VALUE BLUE | $6.80 | $16.00 | $16.00 | 2026-05-28 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | NORTHWEST ONE - ALL PLANS | NORTHWEST ONE - ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | FOCUS HLTHCARE - ALL PLANS | FOCUS HLTHCARE - ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | ASURIS NW HLTH-ALL PLANS | ASURIS NW HLTH-ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7.25 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | GREAT WEST HLTH-ALL PLANS | GREAT WEST HLTH-ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | INTEGRATED HP - ALL PLANS | INTEGRATED HP - ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | SPOKANE PHCO - ALL PLANS | SPOKANE PHCO - ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS HEALTHLINK | BCBS HEALTHLINK | $7.65 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS CLOSED/POS | BCBS CLOSED/POS | $7.65 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | PROVIDER NETWORK OF AMERICA-ALL PLANS | PROVIDER NETWORK OF AMERICA-ALL PLANS | $7.84 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | MOLINA HLTHCARE MCAID-ALL PLANS | MOLINA HLTHCARE MCAID-ALL PLANS | $8.00 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER MEDICAID | KAISER MEDICAID | $8.00 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | WELLPOINT MCAID - ALL PLANS | WELLPOINT MCAID - ALL PLANS | $8.00 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | COMMUNITY HEALTH PLAN MCAID-ALL PLANS | COMMUNITY HEALTH PLAN MCAID-ALL PLANS | $8.00 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | WELLCARE MCAID -ALL OTHER PLANS | WELLCARE MCAID -ALL OTHER PLANS | $8.00 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $8.00 | $20.00 | $10.80 | 2026-05-22 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS TRAD-ALL OTHER PLANS | BCBS TRAD-ALL OTHER PLANS | $8.50 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kern | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Merced | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $8.61 | — | — | 2025-03-13 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | DEVOTED HEALTH | DEVOTED HEALTH | $9.00 | $20.00 | $10.80 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap Midwest | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Bcbs Complete | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid [3001] | Medicaid Michigan [300106] | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Hap Midwest | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Bcbs Complete | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Buckeye Community Health Plan | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Mclaren Health Plan Inc | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Buckeye Community Health Plan | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $11.60 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | MODA HEALTH PLAN - ALL PLANS | MODA HEALTH PLAN - ALL PLANS | $12.00 | $20.00 | $10.80 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | ODS HEALTH MEDICARE | ODS HEALTH MEDICARE | $12.00 | $20.00 | $10.80 | 2026-05-22 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $12.09 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $12.92 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Managed Medi-Cal | $13.09 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Cross | Managed Medi-Cal | $13.09 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Cross | Managed Medi-Cal | $13.09 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante | Managed Medi-Cal | $13.35 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante | Managed Medi-Cal | $13.35 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante | Managed Medi-Cal | $13.35 | — | — | 2025-03-13 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | FIRST HEALTH COVENTRY - ALL PLANS | FIRST HEALTH COVENTRY - ALL PLANS | $13.60 | $16.00 | $16.00 | 2026-05-28 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | BCBS KS CHOICE CARE/BLUE SELECT - ALL OTHER PLANS | BCBS KS CHOICE CARE/BLUE SELECT - ALL OTHER PLANS | $13.60 | $16.00 | $16.00 | 2026-05-28 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | FIRST HEALTH COVENTRY - ALL PLANS | FIRST HEALTH COVENTRY - ALL PLANS | $13.60 | $16.00 | $16.00 | 2026-01-07 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | BCBS KS CHOICE CARE/BLUE SELECT - ALL OTHER PLANS | BCBS KS CHOICE CARE/BLUE SELECT - ALL OTHER PLANS | $13.60 | $16.00 | $16.00 | 2026-01-07 | 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.