5194 — Level 4 Endovascular Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Endovascular Procedures (OTHER 5194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5194?code_type=OTHER
MLA (9th ed.)
“Level 4 Endovascular Procedures (OTHER 5194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5194?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Endovascular Procedures (OTHER 5194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5194?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,865–$22,403 (25th–75th percentile) across 614 hospitals · 554 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5194 — 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 | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $0.33 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $0.68 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $0.68 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $1.13 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $1.14 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $1.14 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $1.23 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $1.30 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $1.30 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $1.63 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $1.72 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $1.72 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $1.89 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $1.92 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $2.18 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $2.28 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $2.60 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $2.67 | $3.25 | $0.33 | 2026-07-31 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Zephyrhills OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Yamhill County | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Yamhill County | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Yamhill County | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Yamhill County | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Aetna | Medicare 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 ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Zing | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER OutpatientFacility | Centene | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH GORDON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Kaiser | Ucd Hb Kaiser Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Health Alliance Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Global Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Alliancehealth Seminole OutpatientFacility | Global Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSP OutpatientFacility | Medicare Advantage | Blue Cross Blue Shield | $54.63 | — | — | 2025-10-31 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS 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 ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | UnitedHealthCare | Community Care Medicaid Managed Care Plan | $84.48 | — | — | 2025-01-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Ers Blue Essentials For Healthselect Members Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| ADVENTHEALTH WESLEY CHAPEL OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PHOEBE SUMTER MEDICAL CENTER OutpatientFacility | Ambetter Health | Exchange | — | — | — | 2026-04-01 | — |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | United Healthcare Ppo | Ppo | $143.40 | — | — | 2025-11-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Aetna | Commercial | $157.01 | — | — | 2025-11-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Monarch Medical Group | Medi-Cal CalOptima Medicaid Managed Care Plan | $167.64 | — | — | 2024-07-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Centene | Wellcare Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $193.93 | — | — | 2025-07-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Careplus | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Port Charlotte OutpatientFacility | Aetna | ASA PPO | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $200.00 | — | — | 2025-01-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Port Charlotte OutpatientFacility | Humana | Medicare Managed Care - HMO/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Caresource Ohio | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Caresource Ohio | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST BAYTOWN HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care - HMO | $250.00 | — | — | 2025-01-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Essence Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Uhc Medicare- Optum | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL OutpatientFacility | Humana | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Bcbs | Osf Employee | — | — | — | 2026-03-31 | MRF ↗ |
| MUSC HEALTH CHESTER MEDICAL CENTER OutpatientFacility | Molina | Exchange | $346.52 | — | — | 2025-07-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | Better Health Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | UPMC | For You Medicaid Managed Care Plan | $402.24 | — | — | 2025-07-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Medicare Hmo | Uhc Medicare- Aarp | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Premera All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Blue Preferred Other Commercial 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 | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Humana | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Aetna Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare 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 ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan – Hmo | $676.35 | — | — | 2025-11-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Connector Other Commercial Plan | $727.00 | — | — | 2025-10-15 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Bcbs | Bluechoice Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Bluechoice Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Hpn Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Hpn Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | $1,108.09 | — | — | 2025-10-31 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| ST. PATRICK HOSPITAL OutpatientFacility | First Health/Coventry | First Health All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Blue Cross | PPA | $1,168.38 | — | — | 2025-10-15 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Healthkeepers Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL OutpatientFacility | Sunshine Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Unitedhealthcare | Choice Select All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | 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 ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | CalOptima | Medi-Cal Medicaid Managed Care Plan | $1,284.75 | — | — | 2024-07-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicaid Hmo | Caresource Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | PPO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | UnitedHealthCare | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Aetna | HMO/POS | — | — | — | 2024-09-01 | 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.