00790 — Anes Intraperitoneal Upper Abdomen W/Laps Nos
Cite this view
HANK Price Transparency. (n.d.). Anes Intraperitoneal Upper Abdomen W/Laps Nos (CPT 00790) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00790?code_type=CPT
“Anes Intraperitoneal Upper Abdomen W/Laps Nos (CPT 00790) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00790?code_type=CPT. Accessed .
“Anes Intraperitoneal Upper Abdomen W/Laps Nos (CPT 00790) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00790?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $83–$6,770 (25th–75th percentile) across 289 hospitals · 1,027 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 00790 — 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.60 | 2026-06-08 | 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 ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | — | $35,436.97 | $7,785.18 | 2026-04-01 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | Medicare Advantage | $3.15 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Healthplan (Hometown) | Medicare Advantage | $3.15 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | $3.17 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | IDAHO DSHS-ALL PLANS | IDAHO DSHS-ALL PLANS | $3.28 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Northern Ohio Handicapped Fund (NOHF | All Products | $3.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Ohio Crippled Childrens Fund (OCCF | All Products | $3.33 | $9.25 | $6.94 | 2025-11-11 | 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 | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $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 | PASSPORT MCAID-ALL OTHER PLANS | PASSPORT MCAID-ALL OTHER PLANS | $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 | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $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 ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $4.40 | $11.00 | $11.00 | 2026-07-09 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $4.53 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $4.57 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Amish Church Fund | All Products | $4.63 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $4.65 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $4.81 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $4.81 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | $4.81 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $4.81 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $4.81 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $4.90 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $4.90 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $4.90 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | $4.90 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $5.25 | $15.00 | $12.00 | 2026-02-25 | 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 ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $5.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER MCR ADV | KAISER MCR ADV | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | CHPW MCAID - ALL PLANS | CHPW MCAID - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SWINOMISH INDIAN HEALTH - ALL PLANS | SWINOMISH INDIAN HEALTH - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SAMISH INDIAN HEALTH - ALL PLANS | SAMISH INDIAN HEALTH - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AARP MCR ADV - ALL PLANS | AARP MCR ADV - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | PREMERA MCR ADV | PREMERA MCR ADV | $5.94 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $5.94 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS BLUE OPTIONS | BCBS BLUE OPTIONS | $5.95 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $6.00 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | REGENCE MCR ADV | REGENCE MCR ADV | $6.00 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $6.00 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Optum (UHC) | Behavioral Health | $6.01 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $6.19 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $6.26 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $6.37 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $6.51 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | $6.51 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $6.51 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $6.51 | $13.03 | $10.42 | 2026-04-08 | 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $6.87 | $15.26 | $9.46 | 2026-04-22 | MRF ↗ |
| FRANCES MAHON DEACONESS HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $7.00 | $1,884.06 | $1,695.65 | 2026-06-09 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Medben | All Products | $7.03 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | United Healthcare of Ohio | Exchange Plan | $7.03 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $7.12 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | HMO and Promedica Plan | $7.16 | $9.25 | $6.94 | 2025-11-11 | 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 | ASURIS NW HLTH-ALL PLANS | ASURIS NW HLTH-ALL PLANS | $7.20 | $8.00 | $6.80 | 2026-06-09 | 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 | CIGNA-ALL PLANS | CIGNA-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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $7.22 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $7.22 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summa Health Employee | All Products | $7.22 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $7.22 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7.25 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare Preferred Choice Network | All Products | $7.28 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | AutlCare | All Products | $7.31 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $7.35 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $7.35 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $7.35 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | The Health Plan (Mountaineer Region) | All Products | $7.45 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | CIGNA OPEN ACCESS PLUS (OAP) | CIGNA OPEN ACCESS PLUS (OAP) | $7.50 | $15.00 | $12.00 | 2026-02-25 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $7.50 | $15.00 | $12.00 | 2026-02-25 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | Ohio - Medflex | $7.56 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | All Products | $7.59 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Avita-OSU Health Plan | All Products | $7.59 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | SPOKANE PHCO - ALL PLANS | SPOKANE PHCO - ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $7.63 | $15.26 | $9.46 | 2026-04-22 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS CLOSED/POS | BCBS CLOSED/POS | $7.65 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS HEALTHLINK | BCBS HEALTHLINK | $7.65 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | The Health Plan (Fna Hometown Health Network) | All Products | $7.77 | $9.25 | $6.94 | 2025-11-11 | 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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Evernorth (Cigna) | Behavioral Health | $7.86 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | United Healthcare | Default | — | $22.30 | $15.83 | 2026-07-15 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Mn | Medicaid Replacement | $7.91 | $22.30 | $15.83 | 2026-07-15 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | UHC | All Products | $7.96 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Aetna | All Products | $7.96 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Cigna | All Products | $7.98 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Medicare Advantage | $7.98 | $9.25 | $6.94 | 2025-11-11 | 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 | WELLPOINT MCAID - ALL PLANS | WELLPOINT 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 | 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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | All Products | $8.01 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Healthsmart (Fna Emerald Health Network) | All Products | $8.09 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Ohio Health Choice | All Products | $8.14 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | EMBS/Thomas Steel | All Products | $8.14 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | PHCS/Multiplan | All Products | $8.14 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | All Products - Network Access | $8.21 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Anthem | HMO/PPO | $8.32 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Prime Health Services | All Products | $8.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Quality Care Partners | All Products | $8.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Enterprise Group Planning | All Products | $8.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Primenet | All Products | $8.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $8.47 | $13.03 | $10.42 | 2026-04-08 | 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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Paramount | Marketplace - HMO | $8.60 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Ohio Preferred Network | All Products | $8.60 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Beechstreet | All Products | $8.60 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Humana | All Products | $8.60 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $8.66 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MULTIPLAN (PHCS)-ALL PLANS | MULTIPLAN (PHCS)-ALL PLANS | $8.66 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Health Reach Ohio Health Group | All Products | $8.70 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Cofinity | All Products | $8.70 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Direct Care America | All Products | $8.79 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | First Health Network | All Products | $8.79 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $8.82 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MULTIPLAN (PHCS)-ALL PLANS | MULTIPLAN (PHCS)-ALL PLANS | $8.82 | $9.80 | $7.84 | 2026-04-08 | MRF ↗ |
| SOUTH SUNFLOWER COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $8.84 | $10.40 | — | 2026-04-08 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | HEALTHSMART PPO - ALL OTHER PLANS | HEALTHSMART PPO - ALL OTHER PLANS | $9.00 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | HEALTHSMART ACCELL NETWORK | HEALTHSMART ACCELL NETWORK | $9.00 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICECARE COMMERCIAL-ALL OTHER PLANS | CHOICECARE COMMERCIAL-ALL OTHER PLANS | $9.10 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | Ohio - Traditional | $9.12 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Anthem | Traditional/Indemnity | $9.15 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | $9.16 | $15.26 | $9.46 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE CARE | MEDICA CHOICE CARE | $9.16 | $15.26 | $9.46 | 2026-04-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $9.77 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $9.77 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $9.77 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO-ALL OTHER PLANS | SIHO-ALL OTHER PLANS | $9.80 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $9.80 | $28.00 | $19.60 | 2026-01-22 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Capital Blue Cross | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Geisinger Health | Geisinger | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Commercial | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | United Healthcare | Uhc | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Commercial | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Capital Blue Cross | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Humana | Humana | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Humana | Humana | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Geisinger Health | Geisinger | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | United Healthcare | Uhc | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc Medicare | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc | — | $32.00 | $22.40 | 2026-05-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | $9.92 | $15.26 | $9.46 | 2026-04-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $10.40 | $26.00 | $14.04 | 2026-05-22 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UPHP MCAID - ALL PLANS | UPHP MCAID - ALL PLANS | $10.60 | $72.00 | $45.36 | 2026-07-17 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $10.80 | $27.00 | $17.55 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $10.80 | $27.00 | $17.55 | 2026-01-15 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $10.80 | $27.00 | $17.55 | 2026-01-15 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medicaid Minnesota | Default | $10.82 | $22.30 | $15.83 | 2026-07-15 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medicaid Minnesota | All plans | $11.02 | $22.30 | $15.83 | 2026-09-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | THCG/ENCORE-ALL PLANS | THCG/ENCORE-ALL PLANS | $11.20 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SAGAMORE HEALTH-ALL PLANS | SAGAMORE HEALTH-ALL PLANS | $11.20 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $11.25 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | MEDICAL ASSOCIATES HP-ALL PLANS | MEDICAL ASSOCIATES HP-ALL PLANS | $11.25 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $11.51 | $13.61 | $12.25 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $11.51 | $13.61 | $12.25 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | TRIWEST WELL MARK ALL PLANS | TRIWEST WELL MARK ALL PLANS | $11.57 | $13.61 | $12.25 | 2026-03-21 | 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 | DEVOTED HEALTH | DEVOTED HEALTH | $11.70 | $26.00 | $14.04 | 2026-05-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MULTIPLAN (PHCS)-ALL PLANS | MULTIPLAN (PHCS)-ALL PLANS | $11.73 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $11.73 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $12.09 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHSOURCE INDIANA-ALL PLANS | HEALTHSOURCE INDIANA-ALL PLANS | $12.60 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Humana | Medicare Advantage | $12.67 | $22.30 | $15.83 | 2026-09-15 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $12.93 | $13.61 | $12.25 | 2026-03-21 | 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.