0522U — Ca Vi Psp&sp1 Antb Cl Semiql
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ca vi psp&sp1 antb cl semiql (HCPCS 0522U) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0522U?code_type=HCPCS
MLA (9th ed.)
“Ca vi psp&sp1 antb cl semiql (HCPCS 0522U) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0522U?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Ca vi psp&sp1 antb cl semiql (HCPCS 0522U) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0522U?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $260–$336 (25th–75th percentile) across 507 hospitals · 473 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0522U — 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 |
|---|---|---|---|---|---|---|---|
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $7.35 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $10.15 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $10.15 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $13.76 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $13.76 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $14.03 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.29 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.29 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $18.29 | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Medicare | $19.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $19.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $19.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Fidelis | Medicare Advantage | $21.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Medicare Advantage | $21.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | Medicare Advantage | $21.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Fidelis | Medicare Advantage | $21.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Health Benefit Exchange | $21.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $21.48 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $21.48 | — | — | 2026-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP INDEX | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP CHP | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP INDEX | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP CHP | $22.05 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Hamaspik | Medicare Advantage | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Nascentia Health Options | Medicare Advantage | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP PPO | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Hamaspik | Medicaid Managed Care | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Q-HIP PPO | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Hamaspik | Medicare Advantage | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Hamaspik | Medicaid Managed Care | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Nascentia Health Options | Medicare Advantage | $22.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $22.97 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $22.97 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter OutpatientFacility | Bcbs | Ppo | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter OutpatientFacility | Bcbs | Hmo/Pos | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER OutpatientFacility | Bcbs | Traditional | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter OutpatientFacility | Bcbs | Traditional | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | CIGNA All Products | $26.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $26.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $26.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MagnaCare | All Products | $26.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MagnaCare | All Products | $26.25 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem_GHI | Commercial_All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products-Transplant | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Empire Plan NYSHIP | All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | SelectCare | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Emblem | Commercial_All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Emblem | Commercial_All Products | $28.00 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Bcbs | Blue Advantage Exchange | $28.32 | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Multiplan | PPO | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Empire Plan NYSHIP | All Products | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Multiplan | PPO | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Small_Large Group_CIGNA | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Multiplan | PPO | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Empire Plan NYSHIP | All Products | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Small_Large Group_CIGNA | $29.75 | $35.00 | $17.50 | 2025-12-31 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Hmo/Pos | $34.71 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Traditional | $34.71 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Ppo | $34.71 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $36.09 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Advantage | Exchange | $36.09 | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | $37.65 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $39.55 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Hmo | Hmo | $39.55 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $42.48 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $42.48 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | $42.48 | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Federal | Traditional | $42.48 | — | — | 2026-04-01 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | ALL PRODUCTS | $42.56 | — | — | 2025-12-30 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Ppo/Pos | $43.18 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $45.00 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $47.58 | $183.00 | $91.50 | 2026-06-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Commercial | — | $183.00 | $91.50 | 2026-06-14 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $48.49 | — | — | 2026-01-02 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $48.75 | $125.00 | $62.50 | 2025-12-31 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $48.79 | — | — | 2026-01-02 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Blue Access Small Group | $48.84 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Blue Access Small Group | $48.84 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Managed Medicaid | $49.71 | — | — | 2026-01-02 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $49.73 | — | — | 2026-03-20 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $50.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $50.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana | Managed Medicaid | $50.91 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $51.23 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $51.23 | — | — | 2026-01-02 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $51.24 | $183.00 | $91.50 | 2026-06-14 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Blue Access Large Group | $51.48 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | BCBS_Empire HealthChoice | Blue Access Large Group | $51.48 | $132.00 | $66.00 | 2025-12-31 | MRF ↗ |
| LOGAN HEALTH - CHESTER OutpatientFacility | Bcbs | Ppo | $52.07 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - CHESTER OutpatientFacility | Bcbs | Hmo/Pos | $52.07 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - CHESTER OutpatientFacility | Bcbs | Traditional | $52.07 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | SENTARA | MANAGED MEDICAID | $52.49 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | MANAGED MEDICAID | $52.49 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | AETNA | MANAGED MEDICAID | $53.01 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | SENTARA | MANAGED MEDICAID | $53.51 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | ANTHEM | MANAGED MEDICAID | $53.51 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | UNITED | MANAGED MEDICAID | $53.54 | — | — | 2026-01-02 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $53.63 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $53.63 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $54.05 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | UNITED | MANAGED MEDICAID | $54.58 | — | — | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | MOLINA | MANAGED MEDICAID | $55.11 | — | — | 2026-01-02 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Outpatient | MOLINA | MANAGED MEDICAID | $56.19 | — | — | 2026-01-02 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $116.25 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $116.25 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $116.25 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $116.25 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $116.25 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $57.75 | $375.00 | $243.75 | 2026-03-01 | 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.