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 $51–$20,937 (25th–75th percentile) across 206 hospitals · 748 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 |
|---|---|---|---|---|---|---|---|
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH 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 ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 ↗ |
| 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 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 | 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 | 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 ↗ |
| 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $8.23 | $16.45 | $10.20 | 2026-04-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | MULTIPLAN-ALL OTHER PLANS | MULTIPLAN-ALL OTHER PLANS | $8.45 | $13.00 | $11.70 | 2026-01-22 | 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 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 ↗ |
| 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 ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE CARE | MEDICA CHOICE CARE | $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 ↗ |
| 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 ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $11.49 | $15.32 | $12.25 | 2026-04-08 | 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 ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | CORVEL-ALL PLANS | CORVEL-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 ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | HFN-ALL PLANS | HFN-ALL PLANS | $11.70 | $13.00 | $11.70 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | USA MCO-ALL PLANS | USA MCO-ALL PLANS | $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 | 2026-01-31 | 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 | 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 | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $12.13 | $16.17 | $12.94 | 2026-04-08 | 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 | BCBS MEDICAID | BCBS MEDICAID | $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 | 2026-01-31 | 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 MEDICAL CENTER OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | 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 | 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 MEDICAL CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | 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 ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | 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 ↗ |
| MEMORIAL REGIONAL HOSPITAL 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 ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID 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 | WEST VOLUSIA | 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 | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST 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 HOSPITAL PEMBROKE 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 ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | 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 ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $14.50 | — | — | 2025-10-24 | 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 | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL 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 | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST 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 MIRAMAR OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $14.64 | $1,561.00 | $452.69 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $14.64 | $1,561.00 | $842.94 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $14.64 | $1,561.00 | $842.94 | 2025-10-01 | 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 BEACHES OutpatientFacility | Daniel Memorial | 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 | 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 ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL 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 ↗ |
| VILLAGES REGIONAL HOSPITAL, THE 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 ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE 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 REGIONAL HOSPITAL OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Florida Community Care | MEDICAID | $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 ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Freedom Health Inc. | MEDICAID | $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 MIRAMAR OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | STAYWELL | ALL PRODUCTS | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR 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 HOSPITAL MIRAMAR OutpatientFacility | UNITED | MEDICAID | $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 ↗ |
| JAY HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | HUMANA | MEDICAID LTC | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | SIMPLY HEALTHCARE PLANS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | SUNSHINE STATE HEALTH PLAN | 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 ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | 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 ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST 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 | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicaid Minnesota | Default | $14.82 | $30.00 | $24.00 | 2026-05-08 | 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 ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | MEDICAID | $14.84 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST 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 ↗ |
| MEMORIAL REGIONAL HOSPITAL 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 ↗ |
| BAPTIST HOSPITAL OutpatientFacility | FL COMMUNITY CARE LTC | MCAID | $14.98 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Prestige Health Choice | MEDICAID | $14.98 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South 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 ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Aetna | Aetna Medicare | $15.00 | $129.00 | $96.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Inpatient | Aetna | Aetna Medicare | $15.00 | $129.00 | $96.75 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Aetna | Aetna Medicare | $15.00 | $129.00 | $96.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | Aetna | Aetna Medicare | $15.00 | $129.00 | $96.75 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Aetna | Aetna Medicare | $15.00 | $129.00 | $96.75 | 2026-02-14 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $15.26 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $15.26 | — | — | 2025-01-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $15.40 | — | — | 2026-03-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $15.40 | — | — | 2026-02-06 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $15.40 | — | — | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | CARESOURCE NETWORK | PCP | $15.40 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $15.40 | — | — | 2026-02-06 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | MOLINA | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Community Care Plan | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | MEDICAID | $15.40 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $15.40 | — | — | 2026-02-06 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Broward County | Inmates w/o Other Insurance | $15.40 | — | — | 2025-07-30 | 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.