1391 — Other Pneumonia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER PNEUMONIA (OTHER 1391) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1391?code_type=OTHER
MLA (9th ed.)
“OTHER PNEUMONIA (OTHER 1391) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1391?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OTHER PNEUMONIA (OTHER 1391) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1391?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,916–$6,253 (25th–75th percentile) across 99 hospitals · 255 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1391 — 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 |
|---|---|---|---|---|---|---|---|
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $20.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $20.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $23.53 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $23.53 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $25.20 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $25.20 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $29.39 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $33.75 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $33.75 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $40.36 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $40.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $40.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $40.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $40.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $40.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $40.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Advance Clinical Research Institute | Advance Clinical Research Institute | $40.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $41.31 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $44.15 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $45.09 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $54.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $54.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $58.01 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $60.75 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $60.75 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $62.77 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $62.77 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $62.96 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $65.75 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $65.75 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $67.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $67.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $67.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $67.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $67.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $67.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $67.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $67.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $67.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $67.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $68.85 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $68.85 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $69.62 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $70.20 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $70.20 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $70.20 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $70.20 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $71.94 | $77.35 | $58.01 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $72.90 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $72.90 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $72.90 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $72.90 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $72.90 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $72.90 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $81.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $81.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $81.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $81.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $81.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $81.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $81.20 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $81.20 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $84.40 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $84.40 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $84.40 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $87.75 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $87.75 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $87.76 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Health Fund | Affiliated Health Fund | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Health Plan Senior | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Health Plan Senior | $94.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $94.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Hmo | $95.04 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Value Network | $96.12 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $101.25 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Choicecare | Choicecare | $101.25 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $103.68 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $105.44 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $108.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $108.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $108.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $108.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $108.41 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $114.75 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $114.75 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $121.50 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $121.50 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $127.58 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $135.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $135.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $135.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $135.00 | $135.00 | $135.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $135.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $135.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $135.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $135.00 | $135.00 | $135.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $204.23 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $204.23 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $204.23 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $208.32 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $210.36 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $214.47 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $409.64 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $409.64 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $419.01 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $431.88 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $436.56 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $449.44 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $451.60 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $525.00 | $750.00 | $375.00 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $562.50 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $562.50 | $750.00 | $375.00 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $562.50 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $596.91 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $600.00 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $600.00 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $601.92 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $619.15 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $633.60 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $637.50 | $750.00 | $375.00 | 2026-05-14 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $654.82 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $654.82 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $654.82 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $675.00 | $750.00 | $375.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $686.40 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $702.25 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $702.25 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $708.58 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $757.26 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $825.14 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $844.80 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $856.74 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $866.10 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $866.10 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $868.44 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $936.33 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $936.33 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $936.33 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $936.33 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $994.85 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $994.85 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $1,056.00 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $1,056.00 | $1,056.00 | $749.97 | 2026-05-08 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,129.00 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,129.00 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,129.00 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $1,170.41 | $1,170.41 | $760.77 | 2026-05-28 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $1,241.90 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $1,241.90 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $1,241.90 | $2,258.00 | $1,580.60 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $1,241.90 | $2,258.00 | $1,580.60 | 2026-05-27 | 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.