0412 — Respiratory Services - Inhalation Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Respiratory Services - Inhalation Services (RC 0412) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0412?code_type=RC
MLA (9th ed.)
“Respiratory Services - Inhalation Services (RC 0412) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0412?code_type=RC. Accessed .
Chicago (notes-bibliography)
“Respiratory Services - Inhalation Services (RC 0412) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0412?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $61–$422 (25th–75th percentile) across 86 hospitals · 202 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0412 — 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 |
|---|---|---|---|---|---|---|---|
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $8.40 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $8.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $8.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Blue Hmo | $8.40 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | In Medicaid | $10.62 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | In Medicaid | $10.62 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | In Medicaid | $10.62 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | In Medicaid | $10.62 | — | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $10.96 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $10.96 | — | — | 2026-05-22 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Martins Point | — | $11.76 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $11.76 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Champva | — | $11.76 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Tricare | — | $11.76 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | Medicare Advantage | $11.76 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Medicare Advantage | $12.11 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Medicare Advantage | $12.11 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Blue Hmo | $12.21 | $61.07 | $16.49 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $12.21 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $12.21 | $61.07 | $16.49 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $12.21 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $12.35 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Wellcare | — | $12.35 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Todays Options | — | $12.35 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Fidelis | Medicare Advantage | $12.58 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Aetna | Medicare Advantage | $12.58 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $12.58 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Humana | Medicare Advantage | $12.70 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $13.02 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Option | $13.02 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Healthy Ny Managed Medicaid | $13.02 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $13.02 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $13.02 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Essential | $13.02 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $13.02 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $13.44 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Tricare | — | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Medicare Advantage | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Champva | — | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $13.44 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Martins Point | — | $13.57 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Medicare Advantage | $13.84 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Medicare Advantage | $14.11 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Wellcare | — | $14.11 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $14.28 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $14.28 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Emblem | Medicare Advantage | $14.28 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Managed Medicaid | $14.38 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $14.38 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Medicare Advantage | $14.38 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $14.38 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Martins Point | — | $14.42 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $14.52 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Mvp | Medicare Advantage | $14.71 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Cdphp | Medicare Advantage | $14.71 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $14.99 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Wellcare | — | $14.99 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Aetna | Medicare Advantage | $15.28 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Fidelis | Medicare Advantage | $15.28 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Humana | Medicare Advantage | $15.42 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Medica(WellFirst) | Medicare Advantage | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Meridian | Dual Medicare/Medicaid MMAI | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Meridian | HealthChoice/Medicaid/Youthcare | — | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | UnitedHealthcare | VA/Community Care | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Molina | HealthChoice/Illinois Medicaid | — | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | HealthChoice/Illinois Medicaid | — | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid MMAI | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Ambetter | All Ambetter ACA Exchange Plans | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Aetna Better Health | HealthChoice/Illinois Medicaid | — | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $16.20 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Tricare | — | $17.10 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Champva | — | $17.10 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $17.10 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Emblem | Medicare Advantage | $17.10 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Martins Point | — | $17.10 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Mvp | Medicare Advantage | $17.61 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Cdphp | Medicare Advantage | $17.61 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $17.95 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Wellcare | — | $17.95 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Todays Options | — | $17.95 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $18.30 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Fidelis | Medicare Advantage | $18.30 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Aetna | Medicare Advantage | $18.30 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Humana | Medicare Advantage | $18.47 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $18.93 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $18.93 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $18.93 | $61.07 | $16.49 | 2026-10-20 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Healthy Ny Managed Medicaid | $18.93 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $18.93 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Essential | $18.93 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Option | $18.93 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Champva | — | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Medicare Advantage | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Tricare | — | $19.54 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $19.54 | $61.07 | $16.49 | 2026-05-08 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Martins Point | — | $19.74 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Medicare Advantage | $20.13 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Medicare Advantage | $20.52 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Wellcare | — | $20.52 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $20.76 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $20.76 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Emblem | Medicare Advantage | $20.76 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Medicare Advantage | $20.91 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Managed Medicaid | $20.91 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $20.91 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $20.91 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Martins Point | — | $20.97 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $21.11 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Cdphp | Medicare Advantage | $21.39 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Mvp | Medicare Advantage | $21.39 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $21.80 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Wellcare | — | $21.80 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Fidelis | Medicare Advantage | $22.22 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Aetna | Medicare Advantage | $22.22 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Humana | Medicare Advantage | $22.42 | $61.07 | $16.49 | 2026-07-15 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | Commercial-FI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Exchange | $23.76 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Exchange | $23.76 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus | $24.10 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Excellus Medicare Advantage | $24.18 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | Commercial-FI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Medicare Advantage | $25.53 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $26.11 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Healthy Blue | Medicaid Managed Care | $26.25 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Carolina Complete | Medicaid Managed Care | $26.25 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Amerihealth | Medicaid Managed Care | $26.25 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Partners | Medicaid Tailored Plan | $26.25 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $26.36 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $26.36 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Vaya | Medicaid Tailored Plan | $26.52 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicaid Managed Care | $26.52 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid Managed Care | $26.52 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Alliance | Medicaid Tailored Plan | $26.77 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Trillium | Medicaid Tailored Plan | $27.04 | $181.00 | $90.50 | 2025-10-08 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Lifetime Benefits | — | $27.37 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Lifetime Benefits | — | $28.98 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Lifetime Benefits | — | $28.98 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Utica | $28.98 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Highmark | $28.98 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Ppo | $28.98 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| A.O. Fox Memorial Hospital - Tri-Town Campus Outpatient | Bcbs | Excellus Blue Ppo | $28.98 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Highmark | $28.98 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Utica | $28.98 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Univera | — | $29.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Lifetime Benefits | — | $29.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Highmark | $29.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| O'CONNOR HOSPITAL Outpatient | Bcbs | Excellus Blue | $29.40 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue | $29.46 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Univera | — | $29.46 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Lifetime Benefits | — | $29.46 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Univera | — | $30.33 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Blue | $30.33 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Highmark | $31.50 | $42.00 | $11.34 | 2026-10-20 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus | $31.50 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark | $31.50 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | Commercial-FI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | — | $31.72 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $32.47 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $32.77 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $32.77 | $192.00 | $96.00 | 2025-11-19 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $32.95 | $193.00 | $96.50 | 2025-11-19 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Exchange | $33.60 | $42.00 | $11.34 | 2026-07-15 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Highmark | $33.60 | $42.00 | $11.34 | 2026-05-08 | MRF ↗ |
| LITTLE FALLS HOSPITAL Outpatient | Bcbs | Empire Exchange | $33.60 | $42.00 | $11.34 | 2026-05-08 | 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.