0900 — Psych Eval
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCH EVAL (RC 0900) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0900?code_type=RC
MLA (9th ed.)
“PSYCH EVAL (RC 0900) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0900?code_type=RC. Accessed .
Chicago (notes-bibliography)
“PSYCH EVAL (RC 0900) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0900?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $149–$290 (25th–75th percentile) across 71 hospitals · 245 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0900 — 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 |
|---|---|---|---|---|---|---|---|
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | $0.95 | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan Elevate | HMO/POS/PPO | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Aetna Healthcare | Medicare Advantage | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | United Healthcare | HMO/POS/PPO | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | CMS | Medicare | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Employer Group | HMO/POS/PPO | $1.13 | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Cigna Healthcare | HMO/POS/PPO | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Aetna Healthcare | HMO/POS/PPO | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Medicare Advantage | — | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $2.46 | $3.30 | $1.16 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | $3.15 | $11.00 | $3.85 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Employer Group | HMO/POS/PPO | $3.77 | $11.00 | $3.85 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | $4.73 | $16.50 | $5.78 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Employer Group | HMO/POS/PPO | $5.66 | $16.50 | $5.78 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/POS/PPO | $7.88 | $27.50 | $9.63 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $8.20 | $11.00 | $3.85 | 2026-04-30 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY InpatientFacility | Denver Health Employer Group | HMO/POS/PPO | $9.43 | $27.50 | $9.63 | 2026-04-30 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | One Legacy | Commercial | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Correctional Health Partners | Medicare Replacement | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medicare Advantage | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Triwest | Medicare Replacement | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Covered California | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LA Health Care | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Kaiser Senior | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Physician Health Network | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Alpha Care | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Wellpath | Commercial | $11.50 | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Covered California | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | InnovAge | Medicare Advantage/PACE | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Medicare Advantage/Commercial | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LaSalle Medical Associates | Medi-Cal | — | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $12.29 | $16.50 | $5.78 | 2026-04-30 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $13.64 | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | MEDICAID MANAGED CARE (MO) [2250] | HEALTHY BLUE MISSOURI [22572] | $14.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $16.56 | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross | Commercial | $16.68 | $23.00 | $23.00 | 2026-02-25 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | CIGNA [7000] | ZZZCIGNA BJC [70010] | $17.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $20.49 | $27.50 | $9.63 | 2026-04-30 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | CIGNA [7000] | CIGNA BJC FLEX OR HDHP [70017] | $24.65 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | COMMERCIAL-CONTRACTED [8000] | CARELON BEHAVIORAL HEALTH [80000] | $25.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Self Pay | Self Pay | $25.28 | $79.00 | $25.28 | 2026-07-17 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC UCM KCMO BLUE SELECT PLUS [40029] | $26.45 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | ZZZAETNA CARELINK EXCHANGE [50016] | $27.36 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Upmc Health Plan | Upmc Chip | $27.65 | $79.00 | $25.28 | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Upmc Health Plan | Upmc Chip | $27.65 | $79.00 | $28.44 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Oscar Health | — | $29.40 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Oscar Health | — | $29.40 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Oscar Health | — | $29.40 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Oscar Health | — | $29.40 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Oscar Health | — | $29.40 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | COMMERCIAL-CONTRACTED [8000] | MEDICA EXCHANGE [80075] | $29.60 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | FIRST HEALTH [5512] | FIRST HEALTH MISC [55116] | $29.64 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | FIRST HEALTH [5512] | ZZZFIRST HEALTH BENEFIT MANAGEMENT [55117] | $29.64 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | FIRST HEALTH [5512] | FIRST HEALTH REPRICING ADDRS [55113] | $29.64 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | FIRST HEALTH [5512] | FIRST HEALTH UPREHS [55119] | $29.64 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | FIRST HEALTH [5512] | FIRST HEALTH MEDISHARE [55122] | $29.64 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA BLUE SELECT PLUS [40032] | $29.90 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA TRADITIONAL [40009] | $29.90 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Caresource | — | $31.08 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Caresource | — | $31.08 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Caresource | — | $31.08 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Caresource | — | $31.08 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Caresource | — | $31.08 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC HPN [40033] | $31.15 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC PREFERRED CARE BLUE [40018] | $31.15 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA PREF CARE BLUE PPO [40011] | $31.15 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC FEDERAL [40012] | $31.15 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC PREFERRED CARE BLUE EXCHANGE [40016] | $31.40 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | Commercial-FI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $31.60 | $79.00 | $25.28 | 2026-07-17 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Oscar Health | — | $32.20 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Oscar Health | — | $32.20 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Oscar Health | — | $32.20 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Oscar Health | — | $32.20 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Oscar Health | — | $32.20 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Self Pay | Self Pay | $32.39 | $79.00 | $32.39 | 2026-07-17 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | FREEDOM NETWORK SELECT [40021] | $32.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | FREEDOM NETWORK SELECT HEALTHLINK PPO [40020] | $32.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | ZZZFREEDOM NETWORK SELECT CERNER [40000] | $32.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | FREEDOM NETWORK SELECT PHP [40001] | $32.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | HUMANA [7500] | ZZZHUMANA COMMERCIAL PPO POS [75001] | $32.69 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA PREF CARE [40010] | $33.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC OF KS EXCHANGE HMO [40026] | $33.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | FREEDOM NETWORK HEALTHLINK [40019] | $33.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | BC KC PREFERRED CARE [40017] | $33.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | BLUE CROSS BLUE SHIELD [4000] | FREEDOM NETWORK PHP [40002] | $33.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | TRANSPLANTS-CASE RATES [5750] | AETNA COMMERCIAL E&P TRANSPLANT [57517] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA SIGNATURES LUMINARE POB 2905 [50002] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA SIGNATURE MISC PPO [50010] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA SIGNATURES LUMINARE POB 2920 [50000] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA NATIONAL [50006] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA LOCAL [50005] | $33.66 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Caresource | — | $34.04 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Caresource | — | $34.04 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Caresource | — | $34.04 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Caresource | — | $34.04 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Caresource | — | $34.04 | $92.00 | $34.96 | 2026-07-15 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | CIGNA [7000] | CIGNA INDEMNITY [70004] | $35.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | COMMERCIAL-CONTRACTED [8000] | PHCS MULTIPLAN [80056] | $37.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | CIGNA [7000] | EVERNORTH BEHAVIORAL HEALTH [70007] | $40.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | In Medicaid | $40.80 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | In Medicaid | $40.80 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | In Medicaid | $40.80 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Anthem | In Medicaid | $40.80 | — | — | 2026-07-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $41.19 | — | — | 2026-04-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica Choice | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $42.11 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $42.11 | — | — | 2026-05-22 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA NAP [50014] | $42.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA I35 MERITAIN NAP [50018] | $42.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $43.41 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | MEDICAID MANAGED CARE (MO) [2250] | HEALTHY BLUE MISSOURI [22572] | $43.50 | $150.00 | $90.00 | 2025-12-31 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Aetna | Aetna | $45.82 | $79.00 | $25.28 | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Cigna | Cigna | $46.93 | $79.00 | $28.44 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Cigna | Cigna | $47.32 | $79.00 | $25.28 | 2026-07-17 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | AETNA [5000] | AETNA INDEMNITY [50009] | $47.50 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | MEDICAID MANAGED CARE OTHER [2257] | HOME STATE BEHAVIORAL HEALTH SMHK [22575] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | UNITED HEALTHCARE [3000] | UNITED BEHAVIORAL HEALTH SYSTEM [30011] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | MEDICAID MANAGED CARE (MO) [2250] | HOME STATE BEHAVIORAL HEALTH [22504] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | UNITED HEALTHCARE [3000] | ZZZUHC SLHS UMR CHOICE PLUS [30021] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT MO HEALTHNET [57513] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | COMMERCIAL-CONTRACTED [8000] | PROVIDRS CARE NETWORK [80021] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | COMMERCIAL-CONTRACTED [8000] | HEALTHLINK HMO [80009] | $50.00 | $50.00 | $30.00 | 2025-12-31 | MRF ↗ |
| Saint Luke's Hospital Crittenton Children's Center Both | CIGNA [7000] | ZZZCIGNA BJC [70010] | $51.00 | $150.00 | $90.00 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual Colorado Option | $53.99 | $228.76 | $80.07 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem CU Trust | Commercial | $55.18 | $228.76 | $80.07 | 2025-11-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $56.98 | $194.73 | $77.90 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice | Medicare Advantage | $57.86 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Medicare Advantage | $57.86 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Wellcare | Medicare Advantage | $57.86 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | HMO/PPO/POS/EPO | — | — | — | 2025-10-24 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual ACA | $64.81 | $228.76 | $80.07 | 2025-11-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | MVP Health Care | Commercial | $65.28 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Medicare Advantage | $65.28 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Commercial | $65.28 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Cross | Commercial | $68.25 | $148.37 | $59.35 | 2025-08-07 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Onenet | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | United Healthcare | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | United Healthcare | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Oxford | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Oxford | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | United Healthcare | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Onenet | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Onenet | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Oxford | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | United Healthcare | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Oxford | — | $68.38 | $84.00 | $31.92 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | United Healthcare | — | $68.38 | $84.00 | $31.92 | 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.