0914T — Prq Tcat Thr Rx Ntrc Bal Sep
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Prq tcat thr rx ntrc bal sep (OTHER 0914T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0914T?code_type=OTHER
MLA (9th ed.)
“Prq tcat thr rx ntrc bal sep (OTHER 0914T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0914T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Prq tcat thr rx ntrc bal sep (OTHER 0914T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0914T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,198–$11,273 (25th–75th percentile) across 392 hospitals · 704 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0914T — 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 |
|---|---|---|---|---|---|---|---|
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Ar Total Care Plan | Commercial | $0.03 | $26,482.00 | $19,861.50 | 2026-07-17 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Empower Plan | Commercial | $0.03 | $26,482.00 | $19,861.50 | 2026-07-17 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $20.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $20.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $20.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $24.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare | $30.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $30.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $32.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Oscar | Commercial | $36.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Oscar | Medicare | $36.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Essential Plan 3 & 4 | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $40.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Medicare | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBC Empre Healthplus | Medicaid & HARP | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 1 & 2 | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 3 & 4 | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS | Medicaid | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Centerlight Healthcare | Centerlight Healthcare | $40.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Local Plus Midlevels | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Cigna Paraprofessionals | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Commercial | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Commercial Midlevels | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Amida Care | Amida Care | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Cigna Employed Physicians | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Local Plus | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial Midlevels | $48.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Centerlight | PACE | $50.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Northwell | Direct | $52.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS | Medicare | $52.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS Medicare | Medicare Midlevels | $52.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP PT/OT Government | PT/OT Government & Select | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP PT/OT Commercial | PT/OT Commercial | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | HMO/POS | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Medicaid Essential Plan 1-4 | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Medicare | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Commercial | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Commercial Midlevels | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare Midlevels | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | PPO/EPO | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Select Care Exchange Product | $54.40 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Multiplan | Multiplan | $56.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Centers Plan for Healthy Living - MD/DOs | Centers Plan for Healthy Living - MD/DOs | $56.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Healthchoice Plan | Commercial | $60.00 | $26,482.00 | $19,861.50 | 2026-07-17 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $60.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Medicare | $64.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Essential 1 & 2 (Medicaid) | $64.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Essential 3 & 4 (Medicaid) | $64.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Health Exchange Plan | $64.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Medicaid and HARP | $64.00 | $80.00 | $52.32 | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Carelon | MAP_Medicare Advantage | $65.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Elderplan | MAP_Medicare Advantage_MLTC | $65.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $70.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | PPO FPP | $75.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $19,956.00 | $13,969.20 | 2026-03-27 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | PPO Non-FPP | $75.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $19,956.00 | $13,969.20 | 2026-03-27 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | Direct Plus FPP | $75.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $75.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Blue Access Large Group | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | EPO | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MULTIPLAN | ALL PRODUCTS | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Blue Access Small Group | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | INDEMNITY | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | HMO | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Small Group EPO_PPO | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | PPO | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | ALL PRODUCTS | $80.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VNSNY | Medicare Advantage | $85.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MAP | $85.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MEDICARE ADVANTAGE | $85.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VNSNY | Medicare SNP | $85.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Amidacare | Managed Medicaid | $85.00 | $100.00 | — | 2026-09-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $15,400.00 | $2,772.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $15,400.00 | $2,772.00 | 2026-01-30 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | BCBS | PPO | $115.21 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | BCN | HMO | $115.21 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL InpatientFacility | Aetna | DOW | $125.32 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network P | $131.00 | $22,794.00 | $15,955.80 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network P | $131.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network P | $131.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network P | $131.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network P | $137.00 | $22,794.00 | $15,955.80 | 2026-02-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Tennessee | Network S/E | $137.00 | $22,794.00 | $15,955.80 | 2026-02-06 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | HAP | Commercial | $145.60 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | River Valley Plan | TennCare | $150.00 | $22,794.00 | $15,955.80 | 2026-02-06 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | UHC | Commercial | $156.00 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $6,000.00 | $4,800.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $6,000.00 | $4,800.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $6,000.00 | $4,800.00 | 2025-11-21 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $160.00 | — | — | 2026-09-01 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | Priority Health | All Commercial | $160.16 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $163.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL InpatientFacility | Aetna | Commercial | $166.40 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | McLaren | Commercial | $172.64 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $174.00 | — | — | 2026-09-01 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL InpatientFacility | Aetna | Cofinity First Health Meritain | $191.36 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| ASCENSION ST MARY'S HOSPITAL OutpatientFacility | Claritev | Rental Network | $197.60 | $208.00 | $124.80 | 2026-05-11 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $214.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $214.00 | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $228.40 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $228.40 | — | — | 2026-09-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $234.00 | — | — | 2026-04-01 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | Americhoice | Medicaid Managed Care Plan | $250.00 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Unitedhealthcare | All Commercial Plans | $270.00 | — | — | 2026-04-01 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | SUMMIT ADMIN NATIVE AM SCHOOLS - ALL PLANS | SUMMIT ADMIN NATIVE AM SCHOOLS - ALL PLANS | $274.40 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $298.70 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $299.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $299.00 | $22,794.00 | $15,955.80 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $299.00 | $22,794.00 | $15,955.80 | 2026-02-05 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $300.00 | — | — | 2026-04-01 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $305.29 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $308.00 | — | — | 2026-03-31 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS | FRIDAY/NM HEALTH CONN/TRUE HEALTH - ALL PLANS | $313.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | SAN JUAN COUNTY/TALL TREE - ALL PLANS | SAN JUAN COUNTY/TALL TREE - ALL PLANS | $313.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | SW HEALTHNET - ALL PLANS | SW HEALTHNET - ALL PLANS | $313.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | HUMANA CHOICECARE COMM - ALL OTHER PLANS | HUMANA CHOICECARE COMM - ALL OTHER PLANS | $313.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $326.00 | — | — | 2026-09-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Unitedhealthcare | Core Other Commercial Plan | $328.00 | — | — | 2026-09-01 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | CIMMARRON ADVANTAGE PPO - ALL PLANS | CIMMARRON ADVANTAGE PPO - ALL PLANS | $333.20 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $348.00 | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Unitedhealthcare | All Commercial Plans | $349.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | VCHCP - ALL PLANS | VCHCP - ALL PLANS | $350.00 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $352.24 | — | — | 2026-04-01 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $352.80 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $352.80 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $359.10 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | HPN SENIOR HMO | HPN SENIOR HMO | $364.88 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Unitedhealthcare | All Commercial Plans | $368.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | BC EXCHANGE | BC EXCHANGE | $377.91 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | UnitedHealthCare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | UnitedHealthCare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $393.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $401.63 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $411.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $411.00 | — | — | 2026-04-01 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | PRESBYTERIAN MCR ADV | PRESBYTERIAN MCR ADV | $411.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | BC NON MCS | BC NON MCS | $419.91 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $419.91 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | HUMANA CHOICECARE MCR ADV | HUMANA CHOICECARE MCR ADV | $431.20 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | UnitedHealthCare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | UnitedHealthCare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $432.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $434.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $437.50 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | EHN - ALL PLANS | EHN - ALL PLANS | $437.50 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $439.25 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | Hmo, Navigate, Select, Select Plus Hmo | $448.00 | — | — | 2026-04-01 | MRF ↗ |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $461.00 | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON OutpatientFacility | Unitedhealthcare | All Commercial Plans | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $484.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $486.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SIMI VALLEY Outpatient | WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $498.75 | $875.00 | $140.00 | 2026-05-21 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | ANTHEM MEDSELECT | ANTHEM MEDSELECT | $500.49 | $722.00 | $541.50 | 2026-06-18 | MRF ↗ |
| CARILION NEW RIVER VALLEY MEDICAL CENTER Outpatient | United Healthcare - RCPS | Commercial | $506.51 | $1,011.00 | $353.85 | 2025-12-15 | MRF ↗ |
| CARILION FRANKLIN MEMORIAL HOSPITAL Outpatient | United Healthcare - RCPS | Commercial | $506.51 | $1,011.00 | $353.85 | 2026-04-17 | MRF ↗ |
| CARILION MEDICAL CENTER Outpatient | United Healthcare - RCPS | Commercial | $506.51 | $1,011.00 | $353.85 | 2025-12-15 | MRF ↗ |
| San Juan Regional Rehabilitation Hospital Inc Outpatient | UHC MCAID | UHC MCAID | $509.60 | $392.00 | $196.00 | 2026-10-08 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $511.00 | — | — | 2026-04-01 | MRF ↗ |
| CARILION NEW RIVER VALLEY MEDICAL CENTER Outpatient | Aetna - Preferred | Commercial | $514.60 | $1,011.00 | $353.85 | 2025-12-15 | MRF ↗ |
| CARILION MEDICAL CENTER Outpatient | Aetna - Preferred | Commercial | $514.60 | $1,011.00 | $353.85 | 2025-12-15 | MRF ↗ |
| CARILION FRANKLIN MEMORIAL HOSPITAL Outpatient | Aetna - Preferred | Commercial | $514.60 | $1,011.00 | $353.85 | 2026-04-17 | MRF ↗ |
| CARILION FRANKLIN MEMORIAL HOSPITAL Outpatient | Aetna | Choice POS II | $523.70 | $1,011.00 | $353.85 | 2026-04-17 | 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.