0434 — Hc Ot Evaluation Low Complexity
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Ot Evaluation Low Complexity (OTHER 0434) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0434?code_type=OTHER
MLA (9th ed.)
“HC Ot Evaluation Low Complexity (OTHER 0434) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0434?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC Ot Evaluation Low Complexity (OTHER 0434) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0434?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $88–$283 (25th–75th percentile) across 75 hospitals · 183 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0434 — 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 |
|---|---|---|---|---|---|---|---|
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | — | — | — | 2026-05-22 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $22.59 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $22.59 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $22.59 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $22.92 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $23.38 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $23.72 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $24.85 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $24.85 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $24.85 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $25.25 | $101.85 | $27.50 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $25.25 | $101.85 | $27.50 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $26.36 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $26.36 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $26.36 | $125.50 | $100.40 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $26.73 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $27.12 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $27.67 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $28.07 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Fidelis | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Mvp | Essential | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Icircle | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Mvp | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | United Healthcare | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Amerihealth | Caritas Chc | $28.49 | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Geisinger | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Cdphp | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Bcbs | Managed Medicaid | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Amerihealth | Managed Medicaid | $28.49 | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Fidelis | Exchange | — | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Amerihealth | Managed Medicaid | $28.64 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Carolina Complete Health | Managed Medicaid | $28.64 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Trillium | Managed Medicaid | $28.64 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Bcbs | Managed Medicaid | $28.64 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $29.23 | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $29.23 | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Medicare Advantage | $29.23 | $193.80 | $155.04 | 2026-05-06 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Wellcare | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | United Healthcare | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Healthy Blue North Carolina | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Carolina Complete Health | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Alliance | Managed Medicaid | $29.24 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-05-18 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-05-18 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-05-18 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Commercial Ppo Phs | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | — | — | — | 2026-05-18 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Commercial Ppo Network Blue | — | — | — | 2026-05-22 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $29.40 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $29.40 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $29.40 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Trillium | Managed Medicaid | $29.54 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Partners | Managed Medicaid | $30.13 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC Outpatient | Vaya Health | Managed Medicaid | $30.13 | $233.00 | $139.80 | 2026-05-09 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $31.19 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $31.19 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $31.19 | $148.50 | $118.80 | 2026-05-08 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Trillium | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Partners | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | Alliance Health | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Carolina Complete Health | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Bcbs | Managed Medicaid | $31.83 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Carolina Complete Health | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Healthy Blue North Carolina | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Alliance | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | United Healthcare | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Wellcare | Managed Medicaid | $32.06 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Trillium | Managed Medicaid | $32.38 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Vaya Health | Managed Medicaid | $33.03 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| JOHNSTON HEALTH Outpatient | Partners | Managed Medicaid | $33.03 | $202.00 | $121.20 | 2026-05-09 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $33.42 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | United Healthcare | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Wellcare | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Alliance | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Carolina Complete Health | Managed Medicaid | $33.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Trillium | Managed Medicaid | $34.00 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $34.24 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $34.24 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Healthy Blue North Carolina | Managed Medicaid | $34.24 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $34.24 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Alliance | Managed Medicaid | $34.24 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Wellcare | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | United Healthcare | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Alliance | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Carolina Complete Health | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | United Healthcare | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Alliance | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Wellcare | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Carolina Complete Health | Managed Medicaid | $34.31 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Trillium | Managed Medicaid | $34.58 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $34.58 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Wellcare | Managed Medicaid | $34.58 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Trillium | Managed Medicaid | $34.65 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Trillium | Managed Medicaid | $34.65 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Vaya Health | Managed Medicaid | $34.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Partners | Managed Medicaid | $34.67 | $123.00 | $73.80 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Champva | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Provider Partners Health Plans | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Virginia Premier | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Unicare Security Choice | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Pyramid Todays Options | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Piedmont Health | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Pace Of The Triad | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Longevity | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Healthteam | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Health Choice | Managed Medicaid | $34.95 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Bcbs | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Oscar Health | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Modivcare | Managed Medicaid | $34.95 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Carolina Complete Health | Managed Medicaid | $34.95 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Tricare | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Devoted Health | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Caresource | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Coventry | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Fidelis | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Wellcare | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $35.06 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Alliance | Managed Medicaid | $35.06 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Partners | Managed Medicaid | $35.27 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| WATAUGA MEDICAL CENTER Outpatient | Vaya Health | Managed Medicaid | $35.27 | $140.00 | $84.00 | 2026-05-27 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Vaya Health | Managed Medicaid | $35.33 | $122.00 | $73.20 | 2026-05-24 | MRF ↗ |
| UNC LENOIR HEALTH CARE Outpatient | Vaya Health | Managed Medicaid | $35.33 | $122.00 | $73.20 | 2026-05-13 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Trillium | Managed Medicaid | $35.41 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Tailored Plan | $35.48 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Three Way | $35.48 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Vaya Health | Managed Medicaid | $35.48 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Trillium | Managed Medicaid | $35.56 | $221.00 | $59.67 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Bcbs | Managed Medicaid | $35.56 | $221.00 | $59.67 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Amerihealth | Managed Medicaid | $35.56 | $221.00 | $59.67 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Both | Carolina Complete Health | Managed Medicaid | $35.56 | $221.00 | $59.67 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Trillium Health | Managed Medicaid | $35.65 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Partners Health | Managed Medicaid | $35.65 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Trillium Health | Tailored Plan | $35.65 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Trillium Health | — | $35.65 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Partners Health | Tailored Plan | $35.65 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Partners | Managed Medicaid | $36.11 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | Vaya Health | Managed Medicaid | $36.11 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Blue Hmo | $36.62 | $195.35 | $52.74 | 2026-05-08 | MRF ↗ |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $36.62 | $195.35 | $52.74 | 2026-05-08 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Aetna | Medicare Advantage Ppo | $37.38 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| DUKE REGIONAL HOSPITAL Inpatient | Aetna | Medicare Advantage Hmo | $37.38 | $178.00 | $48.06 | 2026-05-06 | MRF ↗ |
| APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE Outpatient | United Healthcare | Managed Medicaid | $37.74 | $140.00 | $84.00 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Oscar Health | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Health Choice | Managed Medicaid | $37.96 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Tricare | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Carolina Complete Health | Managed Medicaid | $37.96 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Coventry | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Modivcare | Managed Medicaid | $37.96 | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Aetna | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Bcbs | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Champva | — | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Healthteam | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Longevity | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Pace Of The Triad | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Piedmont Health | Medicare Advantage | — | $171.00 | $64.98 | 2026-05-06 | 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.