5161 — Level 1 ENT Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 1 ENT Procedures (OTHER 5161) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5161?code_type=OTHER
MLA (9th ed.)
“Level 1 ENT Procedures (OTHER 5161) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5161?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 1 ENT Procedures (OTHER 5161) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5161?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $234–$599 (25th–75th percentile) across 576 hospitals · 544 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5161 — 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 |
|---|---|---|---|---|---|---|---|
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Uhc Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Aetna | Advantra Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Vip Choice Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Vip Choice Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Unitedhealthcare | Dual Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Unitedhealthcare | Dual Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Buckeye Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $2.41 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $2.41 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $2.41 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $2.46 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $2.48 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $2.53 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $4.32 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $4.32 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $4.32 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Ambetter | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Ambetter | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $4.81 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $7.10 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $7.47 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $8.09 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $8.35 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $9.96 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Essentials 1_2 Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Essentials 1_2 Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Careoregon | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Careoregon | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $10.46 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $12.45 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $12.45 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $12.45 | $12.45 | $8.84 | 2026-05-08 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | United Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Aetna | Dual Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Aetna | Dual Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Sentara Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Uhc Medicare Advantage | Uhc Medicare Complete | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Uhc Medicare Advantage | Uhc Medicare Complete | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Unitedhealthcare | Options Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Empire All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Empire All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PELHAM MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $38.83 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $38.83 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Caresource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Caresource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $45.01 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Healthplus Ep 1-2 - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WEST HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Kaiser | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HEALTHCARE OutpatientFacility | Mclaren Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Fidelis | Fidelis Medicare Advantage - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Meridian | MMAI Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Anthem Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $60.71 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $60.71 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $60.71 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $60.71 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $60.71 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $60.71 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $60.71 | — | — | 2026-05-06 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $60.71 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $60.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $60.71 | — | — | 2026-05-14 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Wellpoint | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $64.30 | — | — | 2026-05-17 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | SANTA CLARA FAMILY HEALTH PLAN | SCFHP MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $70.07 | — | — | 2026-05-17 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Managed Health Services | Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $71.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $71.31 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $71.31 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $71.31 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $71.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $71.31 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $71.31 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $71.31 | — | — | 2026-05-23 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $71.31 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $71.31 | — | — | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $71.86 | $376.14 | $282.11 | 2026-05-08 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Healthsprings Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $72.52 | — | — | 2026-05-17 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicare Advantage Plans | $73.14 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PENN HIGHLANDS HUNTINGDON OutpatientFacility | Geisinger Gold | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS HUNTINGDON OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS HUNTINGDON OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Ohio Orthopedic Surgery Institute Llc OutpatientFacility | Buckeye Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $79.03 | — | — | 2026-05-17 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $80.79 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $80.79 | — | — | 2026-05-17 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Texas Childrens Health Plan | Star Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | VALLEY HEALTH PLAN | VALLEY HEALTH PLAN MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Valley Health Plan | Valley Health Plan Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Amerihealth | Caritas Ohio Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Superior Healthplan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicare Advantage Plans | $88.85 | — | — | 2025-07-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | $90.63 | — | — | 2025-07-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $91.12 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $91.12 | — | — | 2026-05-17 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $91.57 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $91.57 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $91.57 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $91.57 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $91.57 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $91.57 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $91.57 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $91.57 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $91.57 | — | — | 2026-05-06 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $91.57 | — | — | 2026-05-09 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | CARESOURCE | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN SANTA FE MEDICAL CENTER OutpatientFacility | Blue Centennial | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN SANTA FE MEDICAL CENTER OutpatientFacility | Blue Centennial | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Blue Advantage Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cchp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Independent Health Association - Wchob | Self Funded Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association - Wchob | Self Funded Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BUCKEYE | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Unitedhealthcare Shared Services | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Blue Cross | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Geisinger Gold | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Geisinger Gold | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Blue Cross | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Unitedhealthcare Shared Services | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Blue Cross | Premera Heritage Signature Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Unitedhealthcare | Select, Select Plus, Navigate And Doctors Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Unitedhealthcare | Select, Select Plus, Navigate And Doctors Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Unitedhealthcare | Select, Select Plus, Navigate And Doctors Plan Other Commercial Plan | — | — | — | 2026-04-01 | 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.