0424 — Evaluation Or Re-evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EVALUATION OR RE-EVALUATION (RC 0424) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0424?code_type=RC
MLA (9th ed.)
“EVALUATION OR RE-EVALUATION (RC 0424) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0424?code_type=RC. Accessed .
Chicago (notes-bibliography)
“EVALUATION OR RE-EVALUATION (RC 0424) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0424?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $85–$212 (25th–75th percentile) across 151 hospitals · 277 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0424 — 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 |
|---|---|---|---|---|---|---|---|
| GRANVILLE HEALTH SYSTEMS Outpatient | Bcbs | Bcbs | $0.58 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Medcost | Medcost | $0.62 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Cigna | Cigna | $0.72 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | United Healthcare | United Healthcare | $0.79 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Self Pay | Self Pay | $0.80 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Humana | Humana | $0.80 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Aetna | Aetna | $0.85 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Non Contracted (100% Poc) | Non Contracted (100 Poc) | $1.00 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Outpatient | Tricare/Champus (Mcr) | Tricare/Champus (Mcr) | $1.00 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC OutpatientFacility | Peak Health | Commercial | $13.97 | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC OutpatientFacility | Peak Health | Commercial | $13.97 | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Geisinger | Geisinger Commercial | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | The Health Plan Of The Upper Ohio Valley | The Health Plan Of The Upper Ohio Valley HMO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $16.10 | $70.00 | $70.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | — | $70.00 | $70.00 | 2026-04-30 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Cigna | Cigna LifeSource | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Geisinger | Geisinger Commercial | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | The Health Plan Of The Upper Ohio Valley | The Health Plan Of The Upper Ohio Valley HMO | — | — | — | 2026-04-14 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Blue Community HMO (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PPO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Auto Medical | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Molina Medicare Options (Medicare Advantage) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | MPI Complementary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicaid (State) | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | HealthSmart Preferred Care II | HealthSmart Workers' Compensation/Occupational Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico CHIP Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs - Exchange | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Usable | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Medipak | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Allwell | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs Of Ar | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Wellmark | Medicare Managed 100% | $23.51 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Humana | Humana Gold (Mcr) | $23.74 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Care Network | Commercial | $24.55 | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Traditional | Commercial | $24.55 | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Anthem | Commercial | $24.55 | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Health Alliance Plan of Michigan | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Aetna | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Correctional Medical Systems | Commercial | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Aetna Better Health | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | The Health Plan | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Aetna Better Health | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Correctional Medical Systems | Commercial | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Humana | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Highmark | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Peak Health | Commercial | $25.80 | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | The Health Plan | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Unicare | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Aetna | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | The Health Plan | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Blue Cross | Commercial | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Unicare | Managed Medicaid | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | The Health Plan | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Highmark | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Humana | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Blue Cross | Commercial | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Peak Health | Commercial | $25.80 | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $81.00 | $56.70 | 2025-08-07 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Medica | Managed Medicaid | $27.97 | $67.00 | $42.55 | 2026-03-17 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $28.70 | $70.00 | $70.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | — | $70.00 | $70.00 | 2026-04-30 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Health Alliance Plan of Michigan | PPO | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Molina Healthplan | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Wellcare/Meridian | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Molina | Managed Medicaid | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan McLaren | Managed Medicaid | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Health Alliance Plan of Michigan | HMO | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Anthem | Commercial | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Trust | Commercial | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Care Network | Commercial | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Traditional | Commercial | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Priority Health | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Covenant Advantage/Advantage Plus | HMO/POS Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Humana | PPO Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | McLaren Health Advantage | Commercial | $29.25 | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Healthy Michigan Meridian | Managed Medicaid | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Blue Care Network | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | McLaren Advantage | Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Physicians Health Plan Advantage/Advantage Plus | HMO Medicare Advantage | — | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-07-15 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-07-15 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | $29.38 | $83.95 | $32.74 | 2026-07-15 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Priority Health E | Commercial | $29.90 | $65.00 | $45.50 | 2025-03-12 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $30.15 | $67.00 | $42.55 | 2026-03-17 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $30.15 | $67.00 | $42.55 | 2026-03-17 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $31.00 | $726.00 | $726.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $31.00 | $726.00 | $726.00 | 2026-04-30 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Geisinger | Geisinger Commercial | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | The Health Plan Of The Upper Ohio Valley | The Health Plan Of The Upper Ohio Valley HMO | — | — | — | 2026-04-14 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $31.58 | $726.00 | $726.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $31.58 | $726.00 | $726.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $31.96 | $799.00 | $799.00 | 2026-06-24 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Univera | Univera Commercial | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | The Health Plan Of The Upper Ohio Valley | The Health Plan Of The Upper Ohio Valley HMO | — | — | — | 2026-04-14 | 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.