0943 — Hc Cardiac Rehab Education Ea 15 Min
Cite this view
HANK Price Transparency. (n.d.). HC CARDIAC REHAB EDUCATION EA 15 MIN (RC 0943) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0943?code_type=RC
“HC CARDIAC REHAB EDUCATION EA 15 MIN (RC 0943) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0943?code_type=RC. Accessed .
“HC CARDIAC REHAB EDUCATION EA 15 MIN (RC 0943) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0943?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32–$181 (25th–75th percentile) across 183 hospitals · 429 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0943 — 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 |
|---|---|---|---|---|---|---|---|
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.36 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.38 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.38 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.38 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.39 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.39 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.39 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.47 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.47 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.49 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.49 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.49 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $0.78 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $0.90 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $0.95 | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $0.95 | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.96 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $0.97 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $0.97 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $1.00 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $1.02 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.02 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.02 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.04 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $1.04 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.04 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $1.08 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $1.08 | $9.00 | $9.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $1.08 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Corizon Health | Yescare | $1.20 | $6.00 | $1.50 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1.26 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1.26 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.30 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.31 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.31 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.37 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.37 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $1.75 | $6.00 | $1.50 | 2026-07-15 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $1.75 | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $1.75 | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $5.50 | $3.85 | 2025-08-07 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $1.90 | $6.00 | $1.50 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $2.07 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM MA HEART E&P [57512] | $2.10 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | OPTUM COMMERCIAL HEART E&P [57501] | $2.10 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $2.20 | $55.00 | $55.00 | 2026-06-24 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Cigna | Cigna | $2.31 | $6.00 | $1.50 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Managed Care/PPO | $2.31 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $2.35 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $2.35 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.35 | $55.00 | $55.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.38 | $55.00 | $55.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $2.39 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $2.39 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $2.39 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HB MEDICARE REPLACEMENT TRANSPLANT [57514] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE GOLD SILVER OR CHOICE [12507] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY PPO [12524] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | AETNA MEDICARE ADVANTAGE LEGACY HMO [12525] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | MEDICA TRANSPLANT [57520] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC MEDICARE COMPLETE AARP [12509] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | PRETRANSPLANT [57510] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA COMMERCIAL TRANSPLANT [57515] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | HUMANA MEDICARE [12505] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP KS [12521] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | OPTUM UHC MEDICARE ADVANTAGE [12508] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | PROVIDER PARTNER HEALTH PLANS [12529] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UHC DUAL COMPLETE SNP MO [12522] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT CASE RATE [57508] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | TRANSPLANT SINGLE CASE AGREEMENT [57507] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | ZZZBC KC MEDICARE ADVANTAGE [12517] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | TRANSPLANTS-CASE RATES [5750] | HUMANA GOVT TRANSPLANT [57518] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | UNITED BEHAVIORAL HEALTH MEDICARE REPLACEMENT [12510] | $2.40 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $2.59 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $2.59 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $2.66 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | DEVOTED HEALTH MEDICARE ADVANTAGE [12532] | $2.84 | $6.00 | $3.60 | 2025-12-31 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.85 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $2.85 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $2.87 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $2.87 | $24.00 | $24.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $2.88 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.89 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.89 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | AllWell | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | AllWell | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Ambetter | Commercial | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Blue Advantage Plus | HMO | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Blue Advantage Plus | HMO | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Exchange Product | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Exchange Product | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Ambetter | Commercial | $2.90 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $2.92 | $73.00 | $73.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.97 | $55.00 | $55.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.99 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.99 | $55.00 | $55.00 | 2026-04-30 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Both | Viva Health | VIVAHealthCommercial | $3.00 | $5.00 | $3.75 | 2024-12-11 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.12 | $73.00 | $73.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.12 | $73.00 | $73.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $3.12 | $73.00 | $73.00 | 2026-06-24 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Provider Partners Health Plans | Commercial | $3.13 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Provider Partners Health Plans | Commercial | $3.13 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Molina | Dual Medicare Medicaid | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | United Healthcare | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Ambetter | ACA Exchange | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Humana | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Meridian | Dual Medicare Medicaid | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Aetna | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Aetna | Dual Medicare Medicaid | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | United Healthcare | VA Community Care | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Blue Cross Blue Shield of Illinois | Dual Medicare Medicaid | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $3.15 | $73.00 | $73.00 | 2026-06-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Humana | Dual Medicare Medicaid | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | Medica | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL AND CLINICS OutpatientFacility | WellCare | Medicare Advantage | $3.15 | $7.00 | $5.60 | 2026-06-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.18 | $73.00 | $73.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.18 | $73.00 | $73.00 | 2026-04-30 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Blue Cross | Exchange Blue Select/Blue Select Plus | $3.20 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna | Commercial | $3.20 | $9.00 | $9.00 | 2026-06-24 | MRF ↗ |
| HARRISON COUNTY COMMUNITY HOSPITAL OutpatientFacility | Blue Cross | Exchange Blue Select/Blue Select Plus | $3.20 | $5.00 | $3.25 | 2025-09-10 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Kaiser | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | CMS | Medicare | — | $6.67 | $6.01 | 2025-11-01 | MRF ↗ |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER OutpatientFacility | Select Health | Medicare Advantage | — | $6.67 | $6.01 | 2025-11-01 | 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.