0903 — Behavioral Health Treatment Services, Play Therapy
Cite this view
HANK Price Transparency. (n.d.). BEHAVIORAL HEALTH TREATMENT SERVICES, PLAY THERAPY (RC 0903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0903?code_type=RC
“BEHAVIORAL HEALTH TREATMENT SERVICES, PLAY THERAPY (RC 0903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0903?code_type=RC. Accessed .
“BEHAVIORAL HEALTH TREATMENT SERVICES, PLAY THERAPY (RC 0903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0903?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,077–$28,760 (25th–75th percentile) across 38 hospitals · 85 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0903 — 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 |
|---|---|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Beacon Health Options | CHP | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Beacon Health Options | Medicaid | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Beacon Health Options | Medicare | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Beacon Health Options | Medicaid | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Beacon Health Options | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Beacon Health Strategies | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Beacon Health Options | Medicaid | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Beacon Health Strategies | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Beacon Health Options | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Beacon Health Options | Medicare | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Beacon Health Options | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Both | Beacon Health Options | CHP | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Brighton | DirectPlus | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Beacon Health Options | CHP | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Beacon Health Strategies | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Aetna | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Centivo | PartnershipPlan | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | USA Managed Care Organization | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Aetna | NarrowNetwork | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Both | Brighton | CreateIDN | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Both | Brighton | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Beacon Health Options | Medicare | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Coventry | FirstHealthPPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Both | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Cigna | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Both | Coventry | FirstHealthPPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Both | Brighton | CreateFlex | — | — | — | 2024-12-13 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS WI | Commercial | $238.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS WI | Commercial | $238.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | BCBS WI | Commercial | $238.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS WI | Commercial | $238.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | BCBS WI | Commercial | $238.00 | — | — | 2026-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Both | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Both | Carrum Health | CarrumHealth | $300.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Both | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Both | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Both | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Optum HealtháPlan of California | Medicare Advantage | $541.00 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Optum HealtháPlan of California | HMO | $546.41 | — | — | 2025-11-26 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $707.00 | — | — | 2026-07-15 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Medicare Advantage Ppo | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Veterans / Military | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Medicare Advantage | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Medicare Advantage Hmo | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Omca - Occupational Managed Care Alliance, Inc. | Workers Compensation | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Devoted Health Inc | Medicare Advantage | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Abilis Health Plan | Medicare Advantage | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Horizon Pace | Medicare Advantage | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Optum Health-Ccn | Veterans / Military | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Aetna Better Health | Managed Medicaid | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Managed Medicaid | — | — | — | 2026-10-09 | MRF ↗ |
| Southern Kentucky Rehabilitation Hospital Inpatient | Center Care | Managed Medicaid Hmo | — | — | — | 2026-10-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $945.92 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $1,718.21 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $1,739.55 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $1,739.55 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Medicare | All Plans | $1,767.96 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $1,767.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $1,772.47 | — | — | 2026-07-18 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $1,777.83 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $1,777.83 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $1,777.83 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $1,777.83 | — | — | 2026-02-12 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Cdphp | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Tricare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Caritas Vip | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Aetna | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Prime Health | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Prime Health | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $1,808.64 | — | — | 2026-07-18 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cdphp | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Prime Health | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Prime Health | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Emblem | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Cdphp | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Tricare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Mvp | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Cdphp | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Cdphp | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Tricare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Wellcare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Tricare | Medicare Advantage | $1,808.64 | $1,808.64 | $904.32 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | United Healthcare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Prime Health | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Tricare | Medicare Advantage | $1,808.64 | $1,808.64 | $1,446.92 | 2026-07-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Health Management Llc | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | 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] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $1,808.65 | — | — | 2026-07-18 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $1,808.65 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $1,808.65 | — | — | 2026-04-01 | 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.