0762 — Observation Hours
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OBSERVATION HOURS (RC 0762) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0762?code_type=RC
MLA (9th ed.)
“OBSERVATION HOURS (RC 0762) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0762?code_type=RC. Accessed .
Chicago (notes-bibliography)
“OBSERVATION HOURS (RC 0762) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0762?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31–$846 (25th–75th percentile) across 254 hospitals · 493 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0762 — 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 |
|---|---|---|---|---|---|---|---|
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.34 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.35 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare VA CCN | VA Community Care Network | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.37 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| SAINT LUKE'S SOUTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.42 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $0.46 | — | — | 2026-07-18 | MRF ↗ |
| SAINT LUKE'S SOUTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.55 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.55 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | UNITED BEHAVIORAL HEALTH MEDICARE REPLACEMENT [12510] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | HUMANA MEDICARE [12505] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT CASE RATE [57508] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | PRETRANSPLANT [57510] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | HUMANA GOVT TRANSPLANT [57518] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY HMO [12525] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY PPO [12524] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | ZZZBC KC MEDICARE ADVANTAGE [12517] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE COMPLETE AARP [12509] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT SINGLE CASE AGREEMENT [57507] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | HB MEDICARE REPLACEMENT TRANSPLANT [57514] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | OPTUM UHC MEDICARE ADVANTAGE [12508] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | HUMANA COMMERCIAL TRANSPLANT [57515] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP MO [12522] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE GOLD SILVER OR CHOICE [12507] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP KS [12521] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | PROVIDER PARTNER HEALTH PLANS [12529] | $0.56 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.58 | $3.20 | $1.92 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012] | $0.58 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM MA HEART E&P [57512] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | OPTUM COMMERCIAL HEART E&P [57501] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | OPTUM MA HEART E&P [57512] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM COMMERCIAL HEART E&P [57501] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM MA HEART E&P [57512] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM COMMERCIAL HEART E&P [57501] | $0.61 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Health Alliance | HMO,PPO, and Exchange | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UnitedHealthcare | HMO and PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Cigna | HMO and PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | United Healthcare Medicare Advantage | Medicare Advantage | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Meridian Health | HealthChoice/Illinois Medicaid | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Alliance Coal | Alliance Coal Group Health | $0.64 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | HealthChoice/Illinois Medicaid | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WellCare | Medicare Advantage HMO and PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HealthLink | PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Humana | HMO and PPO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Healthscope | Commercial | $0.64 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HealthLink | HMO | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WellFirst (SSMHIC) | Commercial | $0.64 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | United Healthcare VA CCN | VA Community Care Network | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Molina Healhcare of Illinois Medicaid | HealthChoice/Illinois Medicaid | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Alliance Coal | Alliance Coal Group Health | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | HealthChoice/Illinois Medicaid | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Healthscope | Commercial | — | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | HMO and PPO | $0.66 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | DEVOTED HEALTH MEDICARE ADVANTAGE [12532] | $0.68 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HOPE Trust | Commercial | $0.69 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE COMPLETE AARP [12509] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | HUMANA MEDICARE [12505] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA COMMERCIAL TRANSPLANT [57515] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | MEDICA TRANSPLANT [57520] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | PROVIDER PARTNER HEALTH PLANS [12529] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP MO [12522] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UNITED BEHAVIORAL HEALTH MEDICARE REPLACEMENT [12510] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP KS [12521] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY PPO [12524] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA GOVT TRANSPLANT [57518] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY HMO [12525] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | ZZZBC KC MEDICARE ADVANTAGE [12517] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | MEDICA TRANSPLANT [57520] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | OPTUM UHC MEDICARE ADVANTAGE [12508] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HB MEDICARE REPLACEMENT TRANSPLANT [57514] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Both | MEDICAID MANAGED CARE (MO) [2250] | HOME STATE BEHAVIORAL HEALTH [22504] | $0.70 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (MO) [2250] | HOME STATE BEHAVIORAL HEALTH [22504] | $0.70 | $3.20 | $1.92 | 2025-12-01 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | TRANSPLANTS-CASE RATES [5750] | MEDICA TRANSPLANT [57520] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT SINGLE CASE AGREEMENT [57507] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | PRETRANSPLANT [57510] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT CASE RATE [57508] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE GOLD SILVER OR CHOICE [12507] | $0.70 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO and PPO | $0.72 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | HMO,PPO, and Exchange | $0.74 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HFN, Inc | HFN-20 | $0.74 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Colorado Preferred | $0.75 | — | — | 2026-07-15 | MRF ↗ |
| SAINT LUKE'S SOUTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC CORE UMR [30020] | $0.77 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| SAINT LUKE'S SOUTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC CORE ESSENTIALS ALL SAVERS [30019] | $0.77 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| SAINT LUKE'S SOUTH HOSPITAL Both | UNITED HEALTHCARE [3000] | UHC CORE ESSENTIAL [30018] | $0.77 | $3.20 | $1.92 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Multiplan | PPO | $0.78 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE GOLD SILVER OR CHOICE [12507] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | HealthLink | HMO | $0.78 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP MO [12522] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA COMMERCIAL TRANSPLANT [57515] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA GOVT TRANSPLANT [57518] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO, PPO | $0.78 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | ZZZBC KC MEDICARE ADVANTAGE [12517] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HB MEDICARE REPLACEMENT TRANSPLANT [57514] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | OPTUM UHC MEDICARE ADVANTAGE [12508] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | PRETRANSPLANT [57510] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT CASE RATE [57508] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | PROVIDER PARTNER HEALTH PLANS [12529] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | HUMANA MEDICARE [12505] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY HMO [12525] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY PPO [12524] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE COMPLETE AARP [12509] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UNITED BEHAVIORAL HEALTH MEDICARE REPLACEMENT [12510] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT SINGLE CASE AGREEMENT [57507] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP KS [12521] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526] | $0.78 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Blue Choice | $0.79 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | DEVOTED HEALTH MEDICARE ADVANTAGE [12532] | $0.82 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $0.82 | — | — | 2026-07-15 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | DEVOTED HEALTH MEDICARE ADVANTAGE [12532] | $0.82 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $0.82 | — | — | 2026-07-15 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | HealthLink | PPO | $0.83 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO, PPO | $0.83 | $0.92 | $0.83 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HFN, Inc | HFN-10 | $0.83 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna | First Health PPO | $0.83 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Three Rivers Provider | PPO | $0.83 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | SIHO | PPO | $0.83 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $0.84 | — | — | 2026-02-12 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Meritain Health | Meritain Health | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $0.84 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $0.84 | — | — | 2026-02-12 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Src | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $0.84 | — | — | 2026-02-12 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Geha | Geha-Asa | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Epo | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Ppo | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Pos/Qpos | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Aetna | Aetna Indemnity | $0.84 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $0.84 | — | — | 2026-07-18 | MRF ↗ |
| ALLEN COUNTY REGIONAL HOSPITAL Both | COMMERCIAL-CONTRACTED [8000] | PROVIDRS CARE NETWORK [80021] | $0.84 | $1.74 | $1.04 | 2025-12-31 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Medicare | All Plans | $0.84 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $0.84 | — | — | 2026-07-18 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Traditional and PPO | $0.84 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $0.86 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $0.86 | — | — | 2026-07-18 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Healthsmart | PPO | $0.87 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Stratose | PPO | $0.87 | $0.92 | $0.74 | 2026-06-11 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Wellcare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Caritas Vip | $0.88 | $0.88 | $0.44 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Tricare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Tricare | Medicare Advantage | $0.88 | $0.88 | $0.44 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | Medicare Advantage | $0.88 | $0.88 | $0.44 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Cdphp | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Prime Health | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Prime Health | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Cdphp | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Aetna | Medicare Advantage | $0.88 | $0.88 | $0.44 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Elite-Ohio | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Tricare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cdphp | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Health Management Llc | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Health Plan Inc | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Mvp | Medicare Advantage | $0.88 | $0.88 | $0.44 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Thome Pace | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Tricare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Tricare | Medicare Advantage | $0.88 | $0.88 | $0.70 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Triwest | Government | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicare Advantage | $0.88 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $0.88 | — | — | 2026-07-18 | 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.