0430 — Occupational Therapy - General Classification
Cite this view
HANK Price Transparency. (n.d.). Occupational Therapy - General Classification (RC 0430) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0430?code_type=RC
“Occupational Therapy - General Classification (RC 0430) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0430?code_type=RC. Accessed .
“Occupational Therapy - General Classification (RC 0430) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0430?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45–$158 (25th–75th percentile) across 144 hospitals · 509 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0430 — 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 |
|---|---|---|---|---|---|---|---|
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $0.13 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $0.15 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Individual Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Telemedicine Program | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $0.17 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Logistic Health Inc. | Commercial | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $0.23 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna SureFit, Local Plus | Commercial | $0.23 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare National Hospital | PPO | $0.25 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | UMR Hannibal Regional Healthcare System | Commercial | $0.26 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PAR | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna HIX | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PHP | Commercial | $0.34 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Wellcare | Medicare Advantage | $0.34 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Preferred | $0.35 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Pathway/Pathway X | $0.35 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | 6 Degrees Health | Commercial | $0.35 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $0.37 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Cigna HealthCare of St Louis | Commercial | $0.37 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Alliance (Blue Access) | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HealthLink | PPO | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | 6 Degrees Health | Commercial | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | United Healthcare of the Midwest | Commercial | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HealthLink | HMO | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Current Health Network | Commercial | $0.38 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Commercial | $0.39 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Multiplan/PHCS | Commercial | $0.40 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Celtic/Ambetter | Commercial | $0.41 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | Self-Funded | $0.42 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Traditional | $0.42 | $0.47 | $0.29 | 2025-04-25 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FN | Commercial | $0.47 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | PPO | $0.48 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Oscar | Commercial | $0.50 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $0.50 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $0.53 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $0.54 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Commercial/Group Health | $0.54 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | IVL/Carelink | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FNS | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PCB | Commercial | $0.55 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | HMO | $0.59 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $0.60 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $0.60 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $0.60 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $0.60 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna I-35 NN | Commercial | $0.60 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | $0.62 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | $0.64 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Coventry | Commercial | $0.69 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.70 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.70 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | $0.71 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Emblem/GHI | Commercial | $0.72 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Multiplan/PHCS | Commercial | $0.73 | $0.77 | $0.62 | 2025-01-28 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | WPPA Unified Health Plan | Commercial | $0.75 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Local | Commercial | $0.78 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.80 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.80 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna NAP | Commercial | $0.83 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $0.84 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna National | Commercial | $0.85 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $0.90 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna Medical Rental Products | Commercial | $0.90 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $0.90 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $0.90 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Coventry Leased | PPO/NAB-FH | $0.97 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Cigna | PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage HMO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $1.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial PPO | — | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $1.00 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health Plan | Exchange | $1.05 | $7.00 | $1.33 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health PASC-SEUI | Managed Medi-Cal | $1.05 | $7.00 | $1.33 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Brand New Day | Medicare Advantage | — | $7.00 | $1.33 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health | Managed Medi-Cal | $1.05 | $7.00 | $1.33 | 2026-03-26 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $1.13 | $11.25 | $11.25 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $1.13 | $11.25 | $11.25 | 2026-04-15 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $1.22 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $1.22 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $1.22 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $1.22 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $1.25 | $12.50 | $12.50 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $1.25 | $12.50 | $12.50 | 2026-04-15 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Health Net | Managed Medi-Cal | $1.26 | $7.00 | $1.33 | 2026-03-26 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $1.28 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $1.31 | $13.00 | $7.80 | 2026-04-21 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | United Healthcare (UHC) | VA CCN/Optum | $1.35 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $1.35 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.35 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | United Healthcare (UHC) | Medicare Advantage | $1.35 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.40 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $1.40 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1.40 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.40 | $7.00 | $7.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial HMO | $1.44 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.44 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.44 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Molina | Exchange | $1.47 | $4.89 | $1.96 | 2025-10-14 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $1.47 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $1.47 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $1.47 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $1.47 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health | Managed Medi-Cal | $1.50 | $10.00 | $1.90 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health PASC-SEUI | Managed Medi-Cal | $1.50 | $10.00 | $1.90 | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | LA Care Health Plan | Exchange | $1.50 | $10.00 | $1.90 | 2026-03-26 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $1.55 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $1.58 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Molina | Exchange | $1.58 | $5.25 | $2.10 | 2025-10-14 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $1.59 | $15.75 | $9.45 | 2026-04-21 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $1.60 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.60 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.60 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1.60 | $8.00 | $8.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $1.63 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $1.75 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Community Partners Health Plan (CPHP) | PPO | $1.77 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Health Net | Managed Medi-Cal | $1.80 | $10.00 | $1.90 | 2026-03-26 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $1.80 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.80 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.80 | $18.00 | $18.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Community Partners Health Plan (CPHP) | PPO | $1.80 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $1.80 | $18.00 | $18.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Community Partners Health Plan (CPHP) | PPO | $1.80 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $1.80 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.80 | $18.00 | $18.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $1.80 | $9.00 | $9.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $1.80 | $18.00 | $18.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $1.81 | $10.00 | $10.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna | Commercial | $1.84 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1.84 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | $1.85 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | United Healthcare (UHC) | PPO | $1.85 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | United Healthcare (UHC) | PPO | $1.85 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | United Healthcare (UHC) | PPO | $1.86 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | HMO | $1.86 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.86 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Cigna | PPO | $1.86 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.90 | $19.00 | $19.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $19.00 | $19.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.90 | $19.00 | $19.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | HealthLink | PPO | $1.95 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $1.95 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $1.95 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | HealthLink | PPO | $1.95 | $3.00 | $3.00 | 2026-04-15 | 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.