212 — Electroconvulsive Therapy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELECTROCONVULSIVE THERAPY (EAPG 212) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/212?code_type=EAPG
MLA (9th ed.)
“ELECTROCONVULSIVE THERAPY (EAPG 212) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/212?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“ELECTROCONVULSIVE THERAPY (EAPG 212) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/212?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $344–$771 (25th–75th percentile) across 85 hospitals · 101 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 212 — 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 |
|---|---|---|---|---|---|---|---|
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $14.67 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Community Care Plan | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | AmeriHealth | Managed Medicaid_CHIP | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $14.68 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Glade Sheriffs | Correction Services | $15.41 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid_Florida Kids_MA-SNP | $15.41 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Molina | Marketplace-Exchange Plan | $17.62 | — | — | 2025-12-02 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | BCBS | All Products | $38.36 | — | — | 2026-04-01 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $38.36 | — | — | 2026-04-10 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | BCBS | All Products | $38.36 | — | — | 2026-04-01 | MRF ↗ |
| HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility | BCBSAL | All Products | $38.36 | — | — | 2026-04-10 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | BCBS | All Products | $38.36 | — | — | 2026-04-01 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | BCBS | All Products | $38.36 | — | — | 2026-04-01 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $94.20 | — | — | 2026-01-29 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | United Healthcare | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - Eau Claire | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - South Central WI | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Dean Health Plan | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | My Choice | Managed Medicaid | $101.49 | — | — | 2026-01-28 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $205.65 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $209.76 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $224.16 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $224.16 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $230.32 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $231.65 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $236.49 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $251.58 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $251.58 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $256.62 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $257.06 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $274.23 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $281.77 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $281.77 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $289.32 | — | — | 2026-03-23 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $297.88 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $297.88 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $297.88 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $297.88 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $297.88 | — | — | 2026-07-15 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | MVP Health Care | Managed Medicaid | $306.99 | — | — | 2025-08-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $308.93 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $308.93 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $308.93 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $308.93 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $308.93 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $309.00 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $314.48 | — | — | 2026-03-23 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $321.28 | — | — | 2026-07-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $321.97 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $321.97 | — | — | 2026-02-11 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $321.97 | — | — | 2026-09-20 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $321.97 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $321.97 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $321.97 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $321.97 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $321.97 | — | — | 2026-02-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $324.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $324.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $324.37 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $324.37 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $330.55 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $331.00 | — | — | 2026-07-15 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $331.63 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $333.64 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $333.64 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $333.64 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $339.82 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $339.82 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $340.00 | — | — | 2026-07-15 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $341.10 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $341.10 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $341.10 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Managed Medicaid | $341.10 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Managed Medicaid | $341.10 | — | — | 2025-08-07 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $347.42 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $347.42 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155],FIDELIS [1708] | FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] | $347.42 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA, EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $347.42 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601] | $347.42 | — | — | 2026-04-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $367.51 | $367.51 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $367.51 | $367.51 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH | $367.51 | $367.51 | — | 2024-07-01 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Galaxy Health | Workers Comp | $367.69 | — | — | 2026-05-22 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $370.71 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $370.71 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $370.71 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $371.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $371.00 | — | — | 2026-07-15 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $375.20 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Hamaspik Choice | Medicaid | $375.20 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Medicaid | $375.20 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 3/Essential Plan 4 | $375.20 | — | — | 2026-05-22 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Medicare Advantage | $375.21 | — | — | 2025-08-07 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $377.35 | $377.35 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTH CARE AH | $377.35 | $377.35 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $377.35 | $377.35 | — | 2024-07-01 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Child Health Plus/Family Health Plus/HARP/Medicaid | $393.97 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | WellCare | Child Health Plus/Family Health Plus/Medicaid | $393.97 | — | — | 2026-05-22 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP-BEHAVIORAL HEALTH ONLY | $398.68 | $398.68 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP AH | $398.68 | $398.68 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP WASHINGTON HEALTH | $398.68 | $398.68 | — | 2024-07-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] | $399.53 | — | — | 2026-04-01 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $405.18 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $405.18 | — | — | 2026-03-27 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid | $409.32 | — | — | 2025-08-07 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE AH | $410.16 | $410.16 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE BH | $410.16 | $410.16 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE-BEHAVIORAL HEALTH ONLY | $410.16 | $410.16 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | OPTICARE MANAGED VISION | $410.16 | $410.16 | — | 2024-07-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Denver Health | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Colorado Access | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Kaiser | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Naphcare | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $412.01 | — | — | 2024-12-02 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] | $416.90 | — | — | 2026-04-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $421.66 | — | — | 2025-11-12 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Denver Health | Managed Medicaid | $422.92 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Colorado Access | Managed Medicaid | $422.92 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $422.92 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Kaiser | Managed Medicaid | $422.92 | — | — | 2024-12-02 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] | MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] | $434.28 | — | — | 2026-04-01 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $442.08 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $442.08 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $442.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $444.57 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $444.57 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $444.57 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $444.57 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $444.57 | — | — | 2024-12-02 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 1/Essential Plan 2 | $450.23 | — | — | 2026-05-22 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $460.98 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $460.98 | — | — | 2024-12-02 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $469.39 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $469.39 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $469.39 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $469.39 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $477.17 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Mass Health | Medicaid | $477.17 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $480.55 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $480.55 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $480.55 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $483.47 | — | — | 2026-07-15 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | $485.71 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Managed Medicaid | $485.71 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $485.71 | — | — | 2025-10-28 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $495.00 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $495.00 | — | — | 2026-07-15 | MRF ↗ |
| ST ELIZABETH HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $515.09 | — | — | 2024-12-02 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $516.22 | — | — | 2026-01-28 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Colorado Access | CHP+ | $519.04 | — | — | 2025-12-23 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $534.28 | — | — | 2025-10-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $535.12 | — | — | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $535.12 | — | — | 2026-01-28 | 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.