5165 — Level 5 ENT Procedures
Cite this view
HANK Price Transparency. (n.d.). Level 5 ENT Procedures (OTHER 5165) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5165?code_type=OTHER
“Level 5 ENT Procedures (OTHER 5165) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5165?code_type=OTHER. Accessed .
“Level 5 ENT Procedures (OTHER 5165) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5165?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,481–$9,218 (25th–75th percentile) across 604 hospitals · 695 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5165 — 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 |
|---|---|---|---|---|---|---|---|
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Mhs Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $1.30 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $1.30 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $1.30 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $1.32 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $1.34 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $1.36 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $2.33 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $2.33 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $2.33 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $2.59 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $3.82 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $4.03 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $4.36 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $4.50 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $5.37 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $5.64 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Valor Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Valor Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $6.71 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $6.71 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $6.71 | $6.71 | $4.77 | 2026-05-08 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Centene | Homestate Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Trillium Community | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | First Health/Coventry | First Health Ppo/Epo | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Tufts Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $94.40 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $136.88 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $136.88 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $136.88 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $176.78 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $177.85 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $179.94 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL 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 ↗ |
| 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 MISSION HOSPITAL OutpatientFacility | Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Medicare Hmo | Aetna Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | 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 | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $211.58 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $219.01 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $236.00 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $236.00 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $236.00 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $237.28 | — | — | 2026-05-17 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $248.70 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $256.37 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $258.57 | — | — | 2026-05-17 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $259.60 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Exchange Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $279.38 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $279.44 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $279.44 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $279.44 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $279.44 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $279.44 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $279.44 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $279.44 | — | — | 2026-05-06 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $279.44 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $279.44 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $279.44 | — | — | 2026-05-06 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 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 ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $298.12 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $298.12 | — | — | 2026-05-17 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | — | — | — | 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 ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Optum Health | Transplant Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $322.11 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $322.11 | — | — | 2026-05-17 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $325.38 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $325.38 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $325.38 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $325.38 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $325.38 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $325.38 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $325.38 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $325.38 | — | — | 2026-05-14 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $325.38 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $325.38 | — | — | 2026-05-09 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Family Choice Medical Group | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Avanti Health System | Medi-Cal 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $348.00 | $464.00 | $464.00 | 2026-05-27 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Aetna | Medicare 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 ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $356.83 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $356.83 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $356.83 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $365.80 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $365.80 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $365.80 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Fidelis Care New York | Essential Plan Aliessa / Qhp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $387.51 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $387.51 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $387.51 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $390.82 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $390.82 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $390.82 | $472.00 | $330.40 | 2026-05-27 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Wellsense | Medicaid Managed Care 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.