00790 — Anes Intraperitoneal Upper Abdomen W/Laps Nos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Anes Intraperitoneal Upper Abdomen W/Laps Nos (HCPCS 00790) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00790?code_type=HCPCS
MLA (9th ed.)
“Anes Intraperitoneal Upper Abdomen W/Laps Nos (HCPCS 00790) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00790?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Anes Intraperitoneal Upper Abdomen W/Laps Nos (HCPCS 00790) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00790?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $59–$6,770 (25th–75th percentile) across 262 hospitals · 1,012 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 | Excellus BCBS | Managed Medicaid _CHP_SP | — | $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 | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH 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 OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 | Healthplan (Hometown) | Medicare Advantage | $3.15 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | Medicare Advantage | $3.15 | $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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Northern Ohio Handicapped Fund (NOHF | All Products | $3.33 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.00 | $200.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.00 | $200.00 | — | 2026-03-31 | 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 | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $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 | 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 | 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 | UHC MCR ADV | UHC MCR ADV | $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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 | 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 ↗ |
| 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 | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $6.51 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $6.87 | $15.26 | $9.46 | 2026-04-22 | 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 | Medben | All Products | $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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $7.22 | $9.63 | $7.70 | 2026-04-08 | 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 ↗ |
| 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 | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $7.22 | $9.63 | $7.70 | 2026-04-08 | 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 | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $7.35 | $9.80 | $7.84 | 2026-04-08 | 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 | 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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | MMO | Ohio - Medflex | $7.56 | $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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | All Products | $7.59 | $9.25 | $6.94 | 2025-11-11 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $7.63 | $15.26 | $9.46 | 2026-04-22 | 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 ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Evernorth (Cigna) | Behavioral Health | $7.86 | $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 | UHC | 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 ↗ |
| 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 | EMBS/Thomas Steel | All Products | $8.14 | $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 | 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 | Primenet | 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $8.47 | $13.03 | $10.42 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Humana | All Products | $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 | Paramount | Marketplace - HMO | $8.60 | $9.25 | $6.94 | 2025-11-11 | 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $8.66 | $9.63 | $7.70 | 2026-04-08 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Cofinity | All Products | $8.70 | $9.25 | $6.94 | 2025-11-11 | 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 | First Health Network | All Products | $8.79 | $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 ↗ |
| 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 ↗ |
| 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 CARE | MEDICA CHOICE CARE | $9.16 | $15.26 | $9.46 | 2026-04-22 | 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 ↗ |
| 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 | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $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 ↗ |
| 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 | 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 | Aetna | Aetna Medicare | — | $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 | Capital Blue Cross | — | $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 | Bcbs | Highmark Medicare | — | $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 | Geisinger Health | Geisinger | — | $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 | Aetna | Aetna | — | $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 | Upmc | Upmc | — | $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 | Upmc | Upmc Medicare | — | $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 | United Healthcare | Uhc | — | $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 | Cigna | Cigna | — | $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 | 2026-01-31 | 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 ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | DEVOTED HEALTH | DEVOTED HEALTH | $11.70 | $26.00 | $14.04 | 2026-01-31 | 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 ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $12.93 | $13.61 | $12.25 | 2026-03-21 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | $764.00 | $114.60 | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $14.00 | $28.00 | $19.60 | 2026-01-22 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | $764.00 | $114.60 | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $14.00 | $764.00 | $114.60 | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Merced | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | 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.