5184 — Level 4 Vascular Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Vascular Procedures (OTHER 5184) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5184?code_type=OTHER
MLA (9th ed.)
“Level 4 Vascular Procedures (OTHER 5184) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5184?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Vascular Procedures (OTHER 5184) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5184?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,251–$8,023 (25th–75th percentile) across 644 hospitals · 598 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5184 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Healthchoice Ppo | — | $0.38 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $0.79 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $0.79 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $1.31 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $1.31 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $1.31 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $1.42 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $1.50 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $1.50 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $1.88 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $1.98 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $1.99 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $2.18 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $2.21 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $2.51 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $2.63 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $3.00 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $3.08 | $3.75 | $0.38 | 2026-07-31 | MRF ↗ |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN OutpatientFacility | Aetna | Commercial - Ppo | $4.92 | — | — | 2025-07-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Medicare | Medicare 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 - PLACENTIA LINDA 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-LAKEWOOD 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 ↗ |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSP OutpatientFacility | Ambetter | Ambetter | $9.00 | — | — | 2025-10-31 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Hmo | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Hmo | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Visiting Nurse SVC of NY | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Monarch Medical Group | Medi-Cal CalOptima Medicaid Managed Care Plan | $31.94 | — | — | 2024-07-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INGALLS MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | First Health/Coventry | First Health Ppo/Epo | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Centene | Homestate Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EAST TENNESSEE CHILDRENS HOSPITAL OutpatientFacility | Amerigroup | TennCare Medicaid Managed Care Plan | $95.00 | — | — | 2024-10-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Molina | Advantage Medicare Managed Care Plan | $96.92 | — | — | 2025-01-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Promise 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 ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE 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 ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Blue Cross | Choice - PPO | — | — | — | 2026-07-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | $137.00 | — | — | 2025-01-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Saint Francis Hospital OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Wellsense Health Plan | Managed Medicaid Plan | $208.90 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | First Health/Coventry | First Health All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | 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 ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Humana | Transplant Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Aetna | HMO/POS/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $275.00 | — | — | 2025-01-01 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER OutpatientFacility | Alohacare Quest | Medicaid Managed Care Plan | $279.78 | — | — | 2024-09-01 | 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 ↗ |
| KAU HOSPITAL OutpatientFacility | Ohana Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | $324.80 | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 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 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 ↗ |
| 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 ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Molina Healthcare | 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 | $354.26 | — | — | 2025-10-31 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Tricare | All Plans | $375.00 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Tricare | All Plans | $375.00 | — | — | 2024-07-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs | Highmark Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid 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 ↗ |
| 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 ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| UCSF MEDICAL CENTER 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 LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER SOLANO MEDICAL CENTER OutpatientFacility | Contra Costa Health Plan | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Humana | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL MEDICAL CENTER OutpatientFacility | Health Plan Of San Joaquin | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Caloptima | Medi-Cal Medicaid 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 ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 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 ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Cvs Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Allwell | Allwell Medicare Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Mcare Mc | Bc Medicare Mgd Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aarp | Aarp Mcr Complete | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | United Hlthcare Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Superior Healthplan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | CalOptima | Medi-Cal Medicaid Managed Care Plan | $588.33 | — | — | 2024-07-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSP OutpatientFacility | Medicare Advantage | United Health - Aarp | $598.00 | — | — | 2025-10-31 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Community Health Group | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EDEN MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Bcbs | Exchange | — | — | — | 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | $776.57 | — | — | 2025-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | Other Plan | $776.82 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem | Other Plan | $776.82 | — | — | 2024-07-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | BCBS | Medicaid Managed Care Plan | $778.28 | — | — | 2025-07-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA 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-LAKEWOOD 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 - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Molina Healthcare | Yourcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Healthfirst | Medicare Advantage ONN | — | — | — | 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.