01638 — Anes Arthroscopic Total Shoulder Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Anes Arthroscopic Total Shoulder Replacement (CPT 01638) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/01638?code_type=CPT
MLA (9th ed.)
“Anes Arthroscopic Total Shoulder Replacement (CPT 01638) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/01638?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Anes Arthroscopic Total Shoulder Replacement (CPT 01638) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/01638?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $88–$20,937 (25th–75th percentile) across 217 hospitals · 750 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 01638 — 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 ↗ |
| 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 ↗ |
| ISLAND HOSPITAL Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | $3.17 | $5.66 | $5.66 | 2025-03-18 | 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 | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $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 | 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 | 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 | PASSPORT MCAID-ALL OTHER PLANS | PASSPORT MCAID-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 ↗ |
| ISLAND HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $4.81 | $5.66 | $5.66 | 2025-03-18 | 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 ↗ |
| ISLAND HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $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 | SWINOMISH INDIAN HEALTH - ALL PLANS | SWINOMISH INDIAN HEALTH - ALL PLANS | $5.66 | $5.66 | $5.66 | 2025-03-18 | 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 | 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 | CHPW MCAID - ALL PLANS | CHPW MCAID - 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 | KAISER MCR ADV | KAISER MCR ADV | $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 | 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 | REGENCE MCR ADV | REGENCE MCR ADV | $6.00 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $6.00 | $5.66 | $5.66 | 2025-03-18 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7.25 | $29.00 | $23.49 | 2026-08-04 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $7.28 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $7.40 | $16.45 | $10.20 | 2026-04-22 | 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 ↗ |
| 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $7.66 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $7.66 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $7.66 | $15.32 | $12.25 | 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 | $7.66 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $7.68 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $8.09 | $16.17 | $12.94 | 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 | $8.09 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $8.09 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $8.09 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $8.23 | $16.45 | $10.20 | 2026-04-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | SPRINGFIELD ARMORY-ALL PLANS | SPRINGFIELD ARMORY-ALL PLANS | $8.45 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | MULTIPLAN-ALL OTHER PLANS | MULTIPLAN-ALL OTHER PLANS | $8.45 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| COMMUNITY HOSPITAL OF ANACONDA Outpatient | BCBS TRAD-ALL OTHER PLANS | BCBS TRAD-ALL OTHER PLANS | $8.50 | $8.50 | $6.38 | 2026-04-08 | MRF ↗ |
| 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 ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | MULTIPLAN INTEGRATED HP | MULTIPLAN INTEGRATED HP | $9.75 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | AETNA FIRST HEALTH | AETNA FIRST HEALTH | $9.75 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO-ALL OTHER PLANS | SIHO-ALL OTHER PLANS | $9.80 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE CARE | MEDICA CHOICE CARE | $9.87 | $16.45 | $10.20 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | $9.87 | $16.45 | $10.20 | 2026-04-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $9.96 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | Blue Cross Blue Shield Of Mn | Medicaid Replacement | $10.25 | $28.90 | $20.52 | 2026-07-15 | MRF ↗ |
| BIGFORK VALLEY HOSPITAL Both | United Healthcare | Default | — | $28.90 | $20.52 | 2026-07-15 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | OSF DIRECT ACCESS NETWORK-ALL PLANS | OSF DIRECT ACCESS NETWORK-ALL PLANS | $10.40 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $10.51 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | $10.69 | $16.45 | $10.20 | 2026-04-22 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $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 VA CCN | UHC VA CCN | $10.80 | $27.00 | $17.55 | 2026-01-15 | 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $11.49 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $11.49 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $11.49 | $15.32 | $12.25 | 2026-04-08 | 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 ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | USA MCO-ALL PLANS | USA MCO-ALL PLANS | $11.70 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | CORVEL-ALL PLANS | CORVEL-ALL PLANS | $11.70 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | HFN-ALL PLANS | HFN-ALL PLANS | $11.70 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | MULTIPLAN BEECH STREET | MULTIPLAN BEECH STREET | $11.70 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $11.80 | $29.50 | $15.93 | 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $12.13 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $12.13 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $12.13 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHSOURCE INDIANA-ALL PLANS | HEALTHSOURCE INDIANA-ALL PLANS | $12.60 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | BCBS MEDICAID | BCBS MEDICAID | $13.00 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | AETNA BETTER HEALTH MCAID | AETNA BETTER HEALTH MCAID | $13.00 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN-ALL PLANS | MERIDIAN HEALTH PLAN-ALL PLANS | $13.00 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | DEVOTED HEALTH | DEVOTED HEALTH | $13.28 | $29.50 | $15.93 | 2026-05-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MULTIPLAN (PHCS)-ALL PLANS | MULTIPLAN (PHCS)-ALL PLANS | $13.78 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $13.78 | $15.32 | $12.25 | 2026-04-08 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | UHC AMERICHOICE | 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 | 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 ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | 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 ↗ |
| 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 ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| GULF BREEZE 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 ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | 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 | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $14.00 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $14.00 | $14.00 | $10.50 | 2026-03-18 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $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 | AETNA | BETTER HLTHY KIDS | $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 ↗ |
| BIGFORK VALLEY HOSPITAL Both | Medicaid Minnesota | Default | $14.01 | $28.90 | $20.52 | 2026-07-15 | 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 COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MULTIPLAN (PHCS)-ALL PLANS | MULTIPLAN (PHCS)-ALL PLANS | $14.55 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $14.55 | $16.17 | $12.94 | 2026-04-08 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | MEDICAID | $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 | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | MEDICAID | $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 MIRAMAR OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $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 | Humana | 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 - NASSAU 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 BEACHES 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 ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | STAYWELL | ALL PRODUCTS | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | MH SUNSHINE MCAID | ALL PRODUCTS | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SIMPLY HEALTHCARE PLANS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SUNSHINE STATE HEALTH PLAN | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | STAYWELL | ALL PRODUCTS | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | HUMANA | MEDICAID LTC | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | FL COMMUNITY CARE LTC | MCAID | $14.98 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | FL COMMUNITY CARE LTC | MCAID | $14.98 | — | — | 2025-12-23 | MRF ↗ |
| BOUNDARY COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $15.00 | $15.00 | $12.00 | 2026-02-25 | 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.