5155 — Level 5 Airway Endoscopy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 5 Airway Endoscopy (OTHER 5155) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5155?code_type=OTHER
MLA (9th ed.)
“Level 5 Airway Endoscopy (OTHER 5155) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5155?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 5 Airway Endoscopy (OTHER 5155) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5155?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,679–$10,212 (25th–75th percentile) across 587 hospitals · 538 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5155 — 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 |
|---|---|---|---|---|---|---|---|
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Emblem Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| EAST TENNESSEE CHILDRENS HOSPITAL OutpatientFacility | Humana | ChoiceCare All Commercial Plans | $55.00 | — | — | 2024-10-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | First Choice | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Unitedhealthcare | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Cigna | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan – Hmo | $148.44 | — | — | 2025-11-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HAMILTON MEDICAL CENTER OutpatientFacility | Aetna | All Plans | $171.41 | — | — | 2024-07-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL OutpatientFacility | Humana | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Unicare | Medicaid Managed Care Plan | $190.33 | — | — | 2026-01-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Ambetter Health | Select Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Wellstar Windy Hill Hospital OutpatientFacility | Peachstate | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $243.00 | — | — | 2025-12-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Ohana Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $296.52 | — | — | 2025-01-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH DADE CITY OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Bcbs | Other Commercial Plan | — | — | — | 2026-03-31 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | BCBS | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Cigna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Cigna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Tufts Health Plan | Commercial - Hmo/Ppo | $386.12 | — | — | 2025-01-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Monarch Medical Group | Medi-Cal CalOptima Medicaid Managed Care Plan | $446.26 | — | — | 2024-07-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | $518.61 | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER SOLANO MEDICAL CENTER OutpatientFacility | Blue Shield | Individual | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | $568.57 | — | — | 2025-10-31 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Oxford Liberty Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Johns Hopkins All Children's Hospital OutpatientFacility | Sunshine Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Absolute Total Care | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Absolute Total Care | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH ZEELAND HOSPITAL OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Aetna | Commercial | $625.98 | — | — | 2025-11-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | $637.61 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | $637.61 | — | — | 2025-11-01 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Community Health Group | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH EDMONDS HOSPITAL OutpatientFacility | Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Chinese Community Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Chinese Community Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Chinese Community Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | New Hampshire Healthy Families | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Community Health Group | Medi-Cal Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | HealthNet | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | UnitedHealthCare | Choice/Choice Plus/Core/Options PPO | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | EPN Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | Medi-Cal Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS TYRONE OutpatientFacility | Upmc For You | All Plans | $853.60 | — | — | 2025-08-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH ISSAQUAH OutpatientFacility | Coordinated Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Be Healthy ACO Medicaid Managed Care Plan | $873.77 | — | — | 2025-10-15 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | CalOptima | Medi-Cal Medicaid Managed Care Plan | $932.20 | — | — | 2024-07-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Wellpoint | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Usfhp | Tricare Usfhp Prime - 25 | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Usfhp | Tricare Usfhp Prime | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare Mco | Uhc Community Plan Mco Md | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Choice/Choice Plus/At | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Blue Choice | Carefirst Blue Choice Open Access | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Preferred | Carefirst Blue Cr/Sh | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Medical Resource (Umr) | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Fep | Blue Cr/Sh Fep Standard Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Nasco | Blue Cr/Sh National Acct | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Aetna Med Adv | Aetna Medicare Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Priority Partners | Priority Partners Mco New 9/2022 | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Usfhp | Tricare Usfhp Prime - 25 | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Hmo Select/Sel Plus/At | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Preferred | Carefirst Blue Cr/Sh | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Blue Choice | Carefirst Blue Choice Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Usfhp | Tricare Usfhp Prime | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Out-Of-State | Bcbs Out-Of-State Ppo Other | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Out-Of-State | Bcbs Out-Of-State Ppo Other | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare Mco | Uhc Community Plan Mco Md | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Nasco | Blue Cr/Sh National Acct | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Fep | Blue Cr/Sh Fep Standard Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Blue Choice | Carefirst Blue Choice Open Access | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Aetna Med Adv | Aetna Medicare Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Priority Partners | Priority Partners Mco New 9/2022 | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Aetna | Aetna Select Open Access | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Aetna | Aetna Select Open Access | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Carefirst Blue Choice | Carefirst Blue Choice Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Medical Resource (Umr) | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Hmo Select/Sel Plus/At | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Choice/Choice Plus/At | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Cigna | Cigna Shared Administration | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER OutpatientFacility | Cigna | Cigna Shared Administration | — | — | — | 2025-07-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Hmox Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan Of Rhode Island | Medicaid Managed Care Plan | $1,042.00 | — | — | 2025-01-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Prospect | Vantage Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM OutpatientFacility | Anthem Bc | Medicaid Mgd Care | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Cigna | Exchange | — | — | — | 2026-07-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | The Health Plan | Medicaid Managed Care Plan | $1,122.89 | — | — | 2026-01-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1,157.15 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1,157.15 | — | — | 2026-03-01 | 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.