223 — Level I Neurostimulator And Related Device Implantation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION (EAPG 223) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/223?code_type=EAPG
MLA (9th ed.)
“LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION (EAPG 223) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/223?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION (EAPG 223) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/223?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,587–$11,429 (25th–75th percentile) across 80 hospitals · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 223 — 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 |
|---|---|---|---|---|---|---|---|
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $1,174.89 | — | — | 2026-01-29 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | My Choice | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | United Healthcare | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - South Central WI | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | GHC - Eau Claire | Managed Medicaid | $1,984.09 | — | — | 2026-01-28 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $2,212.78 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Bcbs Medicaid Managed Care (Op) | $2,212.78 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $2,212.78 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $2,212.78 | — | — | 2026-10-09 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $2,602.22 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $2,654.26 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $2,836.42 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $2,836.42 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $2,914.49 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $2,931.31 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $2,992.55 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $3,183.50 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $3,183.50 | — | — | 2026-03-23 | 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] | $3,199.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $3,199.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155],FIDELIS [1708] | FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] | $3,199.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601] | $3,199.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $3,199.77 | — | — | 2026-04-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $3,247.17 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $3,252.78 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $3,470.01 | — | — | 2026-03-23 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $3,497.10 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Mass Health | Medicaid | $3,497.10 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $3,521.84 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $3,521.84 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $3,521.84 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $3,565.52 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $3,565.52 | — | — | 2026-03-23 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $3,627.73 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $3,627.73 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $3,661.02 | — | — | 2026-03-23 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] | $3,679.74 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] | $3,839.72 | — | — | 2026-04-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $3,979.37 | — | — | 2026-03-23 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] | MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] | $3,999.71 | — | — | 2026-04-01 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $4,001.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $4,001.39 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $4,001.39 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $4,001.39 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $4,001.39 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $4,001.39 | — | — | 2026-07-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $4,015.62 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $4,015.62 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $4,015.62 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $4,015.62 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $4,015.62 | — | — | 2026-02-13 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $4,015.62 | — | — | 2026-09-20 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $4,015.62 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $4,015.62 | — | — | 2026-02-11 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $4,136.09 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $4,161.44 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense | Silver | $4,196.52 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $4,201.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $4,201.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $4,201.45 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $4,201.45 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $4,281.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $4,281.48 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $4,321.50 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $4,321.50 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $4,321.50 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $4,401.52 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $4,401.52 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $4,402.00 | — | — | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $4,467.08 | $4,467.08 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH | $4,467.08 | $4,467.08 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $4,467.08 | $4,467.08 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTH CARE AH | $4,586.74 | $4,586.74 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $4,586.74 | $4,586.74 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $4,586.74 | $4,586.74 | — | 2024-07-01 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $4,801.66 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $4,801.66 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $4,801.66 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $4,802.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $4,802.00 | — | — | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP-BEHAVIORAL HEALTH ONLY | $4,845.99 | $4,845.99 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP AH | $4,845.99 | $4,845.99 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP WASHINGTON HEALTH | $4,845.99 | $4,845.99 | — | 2024-07-01 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $4,943.02 | — | — | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE AH | $4,985.58 | $4,985.58 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | OPTICARE MANAGED VISION | $4,985.58 | $4,985.58 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE BH | $4,985.58 | $4,985.58 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE-BEHAVIORAL HEALTH ONLY | $4,985.58 | $4,985.58 | — | 2024-07-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $4,999.11 | — | — | 2026-08-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Denver Health | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Colorado Access | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Kaiser | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Naphcare | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $5,008.08 | — | — | 2024-12-02 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $5,053.47 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $5,053.47 | — | — | 2026-03-27 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna Better Health | Mycare | $5,099.09 | — | — | 2026-08-01 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Colorado Access | Managed Medicaid | $5,140.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,140.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Kaiser | Managed Medicaid | $5,140.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Denver Health | Managed Medicaid | $5,140.69 | — | — | 2024-12-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $5,149.08 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $5,149.08 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $5,149.08 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Mycare | $5,149.08 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $5,199.07 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $5,249.07 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $5,249.07 | — | — | 2026-08-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $5,259.02 | — | — | 2025-11-12 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $5,373.53 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $5,373.53 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $5,373.53 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $5,403.85 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $5,403.85 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $5,403.85 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,403.85 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $5,403.85 | — | — | 2024-12-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $5,473.27 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $5,473.27 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $5,603.18 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Non-contracted Medicaid | Non-contracted Medicaid | $5,603.18 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $5,603.18 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Care Source | Caresource Medicaid | $5,603.18 | — | — | 2024-12-19 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $5,603.29 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $5,603.29 | — | — | 2024-12-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | BCBS ND | Medicaid | $5,624.12 | — | — | 2026-01-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $5,637.47 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $5,637.47 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $5,637.47 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $5,692.20 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $5,715.24 | — | — | 2024-12-19 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $5,746.93 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $5,746.93 | — | — | 2026-07-15 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Molina | Molina Medicaid | $5,766.29 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $5,766.29 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $5,766.29 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $5,766.29 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Medicaid | $5,771.28 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Choice Care Humana | Choice care Humana Medicaid | $5,827.31 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Care Source | Care source Medicaid | $5,881.62 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Paramount | Paramount Medicaid | $5,883.34 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $5,883.34 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Medicaid | $5,883.34 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $5,939.28 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Paramount | Paramount Medicaid | $5,939.28 | — | — | 2024-12-19 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $5,939.49 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $5,939.49 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $5,939.49 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $5,939.49 | — | — | 2026-07-15 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Choice Care Humana | Choice Care Humana Medicaid | $5,996.94 | — | — | 2024-12-19 | 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.