00904 — Anesthesia Radical Perineal Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Anesthesia Radical Perineal Procedure (CPT 00904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00904?code_type=CPT
MLA (9th ed.)
“Anesthesia Radical Perineal Procedure (CPT 00904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00904?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Anesthesia Radical Perineal Procedure (CPT 00904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00904?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$1,659 (25th–75th percentile) across 249 hospitals · 715 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 00904 — 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 InpatientFacility | United Healthcare | Medicare Advantage | — | $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 | United Healthcare | Commercial | $0.51 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Blue Cross Blue Shield Illinois | Commercial | $0.52 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Blue Preferred | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Blue Access | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | United Behavioral Health | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Primary | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Blue Cross Blue Shield Missouri | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Blue Cross Blue Shield Pathways | Commercial | $0.60 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Health Link | Managed Care | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Coventry (Aetna) | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Humana | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Cigna | Commercial | $0.64 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Complementary | Commercial | $0.75 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| BLESSING HOSPITAL InpatientFacility | Health Link PPO | Commercial | $0.76 | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | WC | — | — | — | 2026-03-01 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Option | $2.17 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $2.17 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $2.17 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Healthy Ny Managed Medicaid | $2.17 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Medicare Advantage | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Champva | — | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Tricare | — | $2.24 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Martins Point | — | $2.26 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Medicare Advantage | $2.31 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Wellcare | — | $2.35 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Medicare Advantage | $2.35 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $2.38 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Emblem | Medicare Advantage | $2.38 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $2.38 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Medicare Advantage | $2.40 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $2.40 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Martins Point | — | $2.40 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Managed Medicaid | $2.40 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $2.40 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $2.42 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Cdphp | Medicare Advantage | $2.45 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Mvp | Medicare Advantage | $2.45 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Wellcare | — | $2.50 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $2.50 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Fidelis | Medicare Advantage | $2.55 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Aetna | Medicare Advantage | $2.55 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Humana | Medicare Advantage | $2.57 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | IDAHO DSHS-ALL PLANS | IDAHO DSHS-ALL PLANS | $3.28 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus | $4.02 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Lifetime Benefits | — | $4.90 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Blue | $4.90 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Univera | — | $4.90 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Highmark | $4.90 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Lifetime Benefits | — | $4.91 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Univera | — | $4.91 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue | $4.91 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus | $5.25 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark | $5.25 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | — | $5.29 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Empire Exchange | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Exchange | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $5.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Empire Managed Medicaid | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Empire Exchange | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Healthnow | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Exchange | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Empire Managed Medicaid | $5.60 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cigna | Mvp | $5.95 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Aetna | Signature | $5.95 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | — | $5.95 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Multiplan | — | $6.30 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Phcs | — | $6.30 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Multiplan | — | $6.30 | $7.00 | $1.89 | 2026-07-15 | 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 ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Pomco | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Phcs | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | United Healthcare | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Fidelis | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Neic | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Neic | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Pomco | — | $7.00 | $7.00 | $1.89 | 2026-07-15 | 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 | CIGNA-ALL PLANS | CIGNA-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 | 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 ↗ |
| 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 | SPOKANE PHCO - ALL PLANS | SPOKANE PHCO - 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 | GREAT WEST HLTH-ALL PLANS | GREAT WEST HLTH-ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | 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 | 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 | MOLINA HLTHCARE MCAID-ALL PLANS | MOLINA HLTHCARE 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 ↗ |
| 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 ↗ |
| SOUTH SUNFLOWER COUNTY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $8.84 | $10.40 | — | 2026-04-08 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $10.40 | $26.00 | $14.04 | 2026-05-22 | 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 | Buckeye Community Health Plan | Medicaid Hmo | $10.60 | $143.00 | $57.20 | 2026-07-18 | 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 - WEST Inpatient | Unitedhealthcare Insurance Company | 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 - WEST Inpatient | Hap Midwest | 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 SYSTEM Inpatient | Hap Midwest | 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 SYSTEM Inpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | 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 SYSTEM Inpatient | Bcbs Complete | 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 SYSTEM Inpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | 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 | Molina Healthcare Of Michigan Inc | 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 | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $10.60 | $140.00 | $56.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid [3001] | Medicaid Michigan [300106] | $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 | DEVOTED HEALTH | DEVOTED HEALTH | $11.70 | $26.00 | $14.04 | 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 ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE 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 ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | 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 | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR 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 ↗ |
| 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 | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | MEDICA MSHO MCR COST/SELECT | MEDICA MSHO MCR COST/SELECT | $14.01 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | 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 ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital 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 ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | 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 ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | 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 ↗ |
| 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 | Cal Caloptima | 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 ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | 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 ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | 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 ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | 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 ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $14.07 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | 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 ↗ |
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.