0521T — Interrog Dev Eval Wcs Ip
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTERROG DEV EVAL WCS IP (OTHER 0521T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0521T?code_type=OTHER
MLA (9th ed.)
“INTERROG DEV EVAL WCS IP (OTHER 0521T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0521T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“INTERROG DEV EVAL WCS IP (OTHER 0521T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0521T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$86 (25th–75th percentile) across 550 hospitals · 635 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0521T — 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 |
|---|---|---|---|---|---|---|---|
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $4.39 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $9.76 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $9.76 | — | — | 2026-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UnitedHealthcare of TN Community Plan | MANAGED MEDICAID | $10.82 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $10.90 | — | — | 2026-07-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $11.32 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $11.32 | — | — | 2025-06-27 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | medicaid | NA | $12.86 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | meridian | medicaid | $12.86 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | priority | MedicaidManagedCare | $12.86 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | uhc | MedicaidCommunityPlan | $12.86 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | molina | medicaid | $12.86 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $12.87 | — | — | 2026-04-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | COVENTRY CARES | 3790_BOMC MEDICAID REPLACEMENT COVENTRY CARES OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MI CHILD | 3793_BOMC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA MEDICAID | 3788_BOMC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MOLINA MEDICAID | 3794_BOMC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | UHC MCD | 3796_BOMC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MERIDIAN MEDICAID | 3792_BOMC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MEDICAID HMO | 3791_BOMC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MEDICAID | 3798_BOMC, BPHC MEDICAID OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | - NONE - | 3797_BOMC, BPHC HUMANA MEDICAID OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | PRIORITY MCD | 3795_BOMC MEDICAID REPLACEMENT PRIORITY HEALTH OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | BLUE CAID | 3789_BOMC MEDICAID REPLACEMENT BLUE CAID COMPLETE OUTPATIENT 20250701 | $12.95 | — | — | 2026-01-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $13.13 | $98.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $13.13 | $98.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $13.13 | $98.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $13.13 | $98.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $13.13 | $98.00 | — | 2025-06-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $13.52 | — | — | 2026-04-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MINNESOTACARE-MANAGED MEDICAID | $13.90 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MEDICAID | 1263_SJPK,SJPR MI MEDICAID OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MEDICAID REPLACEMENT | 1242_SJPR MEDICAID HMO OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MEDICAID REPLACEMENT | 1241_SJPK MEDICAID HMO OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HARBOR HEALTH MCD | 1240_SJPK MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CAID MICHIGAN | 1266_SJPK,SJPR MEDICAID REPLACEMENT BLUE CAID OF MICHIGAN OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CAID MICHIGAN | 1266_SJPK,SJPR MEDICAID REPLACEMENT BLUE CAID OF MICHIGAN OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | GREAT LAKES- UHC COMMUNITY PLAN | 1247_SJPK,SJPR MEDICAID REPLACEMENT GREAT LAKES HEALTH PLAN OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | TOTAL HEALTH CARE | 1246_SJPK,SJPR MEDICAID REPLACEMENT TOTAL HEALTH CARE OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | TOTAL HEALTH CARE | 1246_SJPK,SJPR MEDICAID REPLACEMENT TOTAL HEALTH CARE OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HEALTH PLAN OF MI MEDICAID HMO | 1262_SJPK,SJPR MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MOLINA HEALTH | 1264_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | OMNICARE MEDICAID HMO | 1244_SJPR MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MOLINA HEALTH | 1264_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HARBOR HEALTH MCD | 1243_SJPR MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HEALTH PLAN OF MI MEDICAID HMO | 1262_SJPK,SJPR MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | OMNICARE MEDICAID HMO | 1239_SJPK MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | MEDICAID | 1263_SJPK,SJPR MI MEDICAID OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | GREAT LAKES- UHC COMMUNITY PLAN | 1247_SJPK,SJPR MEDICAID REPLACEMENT GREAT LAKES HEALTH PLAN OUTPATIENT 20250101 | $13.91 | — | — | 2026-01-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MEDICAID HMO | $14.18 | $98.00 | — | 2025-06-28 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $14.19 | — | — | 2025-01-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSC+ Dual | $14.36 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSHO | $14.41 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Dual | $14.70 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $14.84 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $14.84 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $14.84 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $14.84 | — | — | 2025-07-22 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $14.90 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $15.14 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $15.14 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $15.14 | — | — | 2025-07-22 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.44 | — | — | 2025-06-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $15.56 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $15.56 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $15.56 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $15.56 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Cigna | Exchange | $15.60 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Exchange | $15.60 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $15.60 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $15.87 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $15.87 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $15.87 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $15.87 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $16.03 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $16.03 | $103.00 | $22.66 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $16.03 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $16.03 | $103.00 | $23.69 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $16.13 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $16.13 | — | — | 2026-03-29 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $16.15 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $16.15 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $16.18 | — | — | 2025-07-22 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | UHC | UHC COMMUNITY-CHILDREN | $16.31 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | UHC | UHC COMMUNITY-CHILDREN | $16.31 | — | — | 2026-01-25 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Cigna | Exchange | $16.35 | $35.00 | $17.50 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Exchange | $16.35 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $16.35 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $17.15 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Tmsh | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Family - Tmsh | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Bi | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Bi | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Bi | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Slw | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Slw | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Brook | $17.17 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | SummaCare | Managed Medicare | $17.25 | — | — | 2026-07-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $17.30 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $17.30 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AmeriChoice | Managed Medicaid | $17.30 | $134.00 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $17.30 | $134.00 | — | 2026-03-18 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.58 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.58 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $17.65 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $17.65 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $17.65 | — | — | 2026-04-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $17.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $17.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $17.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $17.70 | — | — | 2025-08-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.72 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.72 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $17.82 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $17.82 | $103.00 | $28.84 | 2026-09-28 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Prime Care | $17.98 | $58.00 | — | 2026-04-01 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $18.05 | — | — | 2026-03-29 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $18.11 | — | — | 2025-06-28 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $18.16 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $18.16 | — | — | 2026-07-01 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Wellcare | Managed Medicaid | $18.51 | $134.00 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BLUE ADVANTAGE | $18.63 | $134.00 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BCBS Medicare | $18.63 | $134.00 | — | 2026-03-18 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $18.72 | — | — | 2026-06-15 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $18.72 | — | — | 2024-06-28 | MRF ↗ |
| Memorial Hospital at Stone County OutpatientFacility | AETNA | ALL PRODUCTS | $18.79 | — | — | 2026-02-18 | MRF ↗ |
| Memorial Hospital Biloxi OutpatientFacility | AETNA | ALL PRODUCTS | $18.79 | — | — | 2026-02-18 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $18.85 | — | — | 2026-04-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $18.93 | — | — | 2025-08-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UBH | COMMERCIAL/Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | BCBS | MHCP-Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | PMAP-Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | UCARE | Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HENNEPIN HEALTH | PMAP-Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Managed Medicaid | $18.98 | $42.00 | $18.90 | 2025-12-17 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | dual | NA | $19.00 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | meridian | MedicareMedicaidDual | $19.00 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | molina | MedicareMedicaidDual | $19.00 | $53.66 | $26.39 | 2026-02-24 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $19.02 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Exchange | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Hmo/Ppo | $19.08 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $19.15 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $19.15 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $19.15 | — | — | 2026-04-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Exchange Hmo | $19.25 | $35.00 | $17.50 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Hmo | $19.25 | $35.00 | $17.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Hmo | $19.25 | $35.00 | $17.50 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Exchange Hmo | $19.25 | $35.00 | $17.50 | 2026-07-15 | 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.