01392 — Anes Open Proc Upper Ends Tibia Fibula&/Patella
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Anes Open Proc Upper Ends Tibia Fibula&/Patella (CPT 01392) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/01392?code_type=CPT
MLA (9th ed.)
“Anes Open Proc Upper Ends Tibia Fibula&/Patella (CPT 01392) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/01392?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Anes Open Proc Upper Ends Tibia Fibula&/Patella (CPT 01392) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/01392?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $83–$8,289 (25th–75th percentile) across 245 hospitals · 924 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 01392 — 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 | Health Benefit Exchange | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $115.00 | — | 2025-05-02 | MRF ↗ |
| BLESSING HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.60 | 2026-06-08 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $1.50 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | DEVOTED MCR ADV - ALL PLANS | DEVOTED MCR ADV - ALL PLANS | $1.50 | $5.00 | $3.25 | 2026-04-23 | 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 | SAGAMORE-ALL PLANS | SAGAMORE-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 ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CENTER CARE SELECT - ALL PLANS | CENTER CARE SELECT - ALL PLANS | $2.50 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | CENTER CARE SELECT - ALL PLANS | CENTER CARE SELECT - ALL PLANS | $2.50 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $3.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $3.00 | $5.00 | $3.25 | 2026-04-23 | 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 | BEECH STREET COMM-ALL PLANS | BEECH STREET COMM-ALL PLANS | $3.52 | $4.14 | $2.48 | 2026-07-16 | 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 | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3.73 | $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 | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $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 | 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 | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.14 | $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 ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $4.40 | $11.00 | $11.00 | 2026-07-09 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | WELLCARE MCAID | WELLCARE MCAID | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | HUMANA MCAID | HUMANA MCAID | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | WELLCARE MCAID | WELLCARE MCAID | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH MCAID - ALL PLANS | AETNA BETTER HEALTH MCAID - ALL PLANS | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH MCAID - ALL PLANS | AETNA BETTER HEALTH MCAID - ALL PLANS | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | HUMANA MCAID | HUMANA MCAID | $5.00 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $5.15 | $5.00 | $3.25 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $5.15 | $5.00 | $3.25 | 2026-04-23 | 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 ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $5.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $5.79 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $5.94 | $13.20 | $8.18 | 2026-04-22 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS BLUE OPTIONS | BCBS BLUE OPTIONS | $5.95 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $6.00 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $6.51 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $6.60 | $13.20 | $8.18 | 2026-04-22 | 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 ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICECARE COMMERCIAL-ALL OTHER PLANS | CHOICECARE COMMERCIAL-ALL OTHER PLANS | $7.15 | $11.00 | $8.25 | 2026-03-18 | 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 ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | UHC-ALL PLANS | UHC-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 ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $7.50 | $15.00 | $12.00 | 2026-02-25 | 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 ↗ |
| 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 | SPOKANE PHCO - ALL PLANS | SPOKANE PHCO - ALL PLANS | $7.60 | $8.00 | $6.80 | 2026-06-09 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | PACIFIC SOURCE - ALL PLANS | PACIFIC SOURCE - ALL PLANS | $7.64 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $7.64 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | WYO-BEN - ALL PLANS | WYO-BEN - ALL PLANS | $7.64 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | FIRST CHOICE HEALTH - ALL PLANS | FIRST CHOICE HEALTH - ALL PLANS | $7.64 | $8.48 | $8.48 | 2026-09-11 | 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 ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO-ALL OTHER PLANS | SIHO-ALL OTHER PLANS | $7.70 | $11.00 | $8.25 | 2026-03-18 | 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE CARE | MEDICA CHOICE CARE | $7.92 | $13.20 | $8.18 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | $7.92 | $13.20 | $8.18 | 2026-04-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $8.00 | $20.00 | $10.80 | 2026-05-22 | 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 | 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 ↗ |
| POWELL VALLEY HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $8.06 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $8.06 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | ALLEGIANCE - ALL PLANS | ALLEGIANCE - ALL PLANS | $8.06 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $8.06 | $8.48 | $8.48 | 2026-09-11 | MRF ↗ |
| POWELL VALLEY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $8.06 | $8.48 | $8.48 | 2026-09-11 | 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | $8.58 | $13.20 | $8.18 | 2026-04-22 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Commercial | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Capital Blue Cross | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Humana | Humana | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Capital Blue Cross | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | United Healthcare | Uhc | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Humana | Humana | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | United Healthcare | Uhc | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Geisinger Health | Geisinger | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Bcbs | Highmark Commercial | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Geisinger Health | Geisinger | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Upmc | Upmc Medicare | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| FULTON COUNTY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $28.00 | $19.60 | 2026-05-08 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SAGAMORE HEALTH-ALL PLANS | SAGAMORE HEALTH-ALL PLANS | $8.80 | $11.00 | $8.25 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | THCG/ENCORE-ALL PLANS | THCG/ENCORE-ALL PLANS | $8.80 | $11.00 | $8.25 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | DEVOTED HEALTH | DEVOTED HEALTH | $9.00 | $20.00 | $10.80 | 2026-05-22 | 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 | HEALTHSOURCE INDIANA-ALL PLANS | HEALTHSOURCE INDIANA-ALL PLANS | $9.90 | $11.00 | $8.25 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU ATHLETE-ALL OTHER PLANS | EIU ATHLETE-ALL OTHER PLANS | $10.13 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UPHP MCAID - ALL PLANS | UPHP MCAID - ALL PLANS | $10.60 | $72.00 | $45.36 | 2026-07-17 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHSCOPE-ALL PLANS | HEALTHSCOPE-ALL PLANS | $10.71 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | RURAL KING-ALL PLANS | RURAL KING-ALL PLANS | $10.71 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA LOCAL BEST MC | AETNA LOCAL BEST MC | $10.71 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $11.00 | $11.00 | $8.25 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $11.00 | $11.00 | $8.25 | 2026-03-18 | 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 ↗ |
| BOONE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $11.25 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BCBS IL-ALL OTHER PLANS | BCBS IL-ALL OTHER PLANS | $11.43 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HOPE TRUST-ALL PLANS | HOPE TRUST-ALL PLANS | $11.58 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | CONSOCIATE-ALL PLANS | CONSOCIATE-ALL PLANS | $11.58 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BCBS CHOICE | BCBS CHOICE | $11.58 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA OPEN CHOICE | AETNA OPEN CHOICE | $11.58 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA LOCAL BEST ASO | AETNA LOCAL BEST ASO | $11.58 | $14.47 | $14.47 | 2026-06-03 | 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 ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU STUDENT | EIU STUDENT | $11.87 | $14.47 | $14.47 | 2026-06-03 | 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 ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | UHC COMM -ALL OTHER PLANS | UHC COMM -ALL OTHER PLANS | $12.01 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $12.09 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $12.16 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | ALLIED NATIONAL-ALL PLANS | ALLIED NATIONAL-ALL PLANS | $12.16 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | COMPANION LIFE-ALL PLANS | COMPANION LIFE-ALL PLANS | $12.16 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | United Healthcare | Default | — | $34.40 | $24.42 | 2026-07-15 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Mn | Medicaid Replacement | $12.20 | $34.40 | $24.42 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | INNOVATIVE HLTHWARE-ALL PLANS | INNOVATIVE HLTHWARE-ALL PLANS | $12.30 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $12.30 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $12.45 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHLINK PPO - ALL OTHER PLANS | HEALTHLINK PPO - ALL OTHER PLANS | $12.45 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $12.45 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA OPEN ACCESS | AETNA OPEN ACCESS | $12.59 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | CPHP-ALL PLANS | CPHP-ALL PLANS | $13.03 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $13.03 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $13.03 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MEDICAID | UHC MEDICAID | $13.20 | $13.20 | $8.18 | 2026-04-22 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HFN-ALL PLANS | HFN-ALL PLANS | $13.32 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $13.32 | $14.47 | $14.47 | 2026-06-03 | MRF ↗ |
| MANNING REGIONAL HEALTHCARE CENTER Outpatient | PREFERRED HEALTH - ALL PLANS | PREFERRED HEALTH - ALL PLANS | $13.50 | $18.00 | $12.78 | 2026-01-03 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | HUMANA/CHOICE CARE-ALL OTHER PLANS | HUMANA/CHOICE CARE-ALL OTHER PLANS | $13.50 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| MANNING REGIONAL HEALTHCARE CENTER Outpatient | MEDICAL ASSOCIATES COMM-ALL OTHER PLANS | MEDICAL ASSOCIATES COMM-ALL OTHER PLANS | $13.50 | $18.00 | $12.78 | 2026-01-03 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | 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 ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | 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 ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE 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 ↗ |
| 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 ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID 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 ↗ |
| BOONE COUNTY HOSPITAL Outpatient | MUTUALLY PREFERRED-ALL PLANS | MUTUALLY PREFERRED-ALL PLANS | $14.25 | $15.00 | $12.00 | 2026-05-18 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $14.42 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $14.42 | — | — | 2025-01-01 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $14.50 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $14.55 | $15.00 | $12.00 | 2026-02-25 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | 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.