5212 — Level 2 Electrophysiologic Procedures
Cite this view
HANK Price Transparency. (n.d.). Level 2 Electrophysiologic Procedures (OTHER 5212) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5212?code_type=OTHER
“Level 2 Electrophysiologic Procedures (OTHER 5212) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5212?code_type=OTHER. Accessed .
“Level 2 Electrophysiologic Procedures (OTHER 5212) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5212?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,356–$8,960 (25th–75th percentile) across 452 hospitals · 428 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5212 — 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 |
|---|---|---|---|---|---|---|---|
| PAOLI HOSPITAL OutpatientFacility | UPMC | For You Medicaid Managed Care Plan | $14.27 | — | — | 2025-07-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Be Healthy ACO Medicaid Managed Care Plan | $55.28 | — | — | 2025-10-15 | MRF ↗ |
| HOUSTON METHODIST BAYTOWN HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care - HMO | $150.00 | — | — | 2025-01-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Ma | — | $183.66 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Ma | — | $183.66 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma | — | $190.14 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Ma | — | $194.46 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Wellcare | 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 Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Medicare | — | $213.91 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cbc Medicare | — | $216.07 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Medicare | — | $216.07 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Mc Adv | — | $216.07 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Medicare | — | $216.07 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Medicare | — | $216.07 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Vibra Medicare | — | $220.39 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Humana Medicare | — | $220.39 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Medicare | — | $231.19 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | BlueEssentials Exchange | $242.14 | — | — | 2025-07-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $285.53 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | PacificSource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | United Healthcare | Commercial - Hmo/Ppo | $382.00 | — | — | 2025-01-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $422.29 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $454.40 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $1,647.00 | $823.50 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $496.95 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $576.61 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $576.61 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Choice Blue | — | $653.02 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $666.60 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Blue Pathways Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Blue Pathways Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $735.37 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $744.37 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | $746.19 | — | — | 2025-07-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Comm | — | $816.27 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $833.25 | $1,111.00 | $325.63 | 2026-07-05 | 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 ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $877.69 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $888.80 | $1,111.00 | $325.63 | 2026-07-05 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Fidelis | Fidelis Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-03-31 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Healthfirst | Healthfirst Medicare Onn - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Oscar Health | All Commercial Plans | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1,278.84 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1,278.84 | — | — | 2026-03-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Fully Insured Other Commercial Plan | $1,289.82 | — | — | 2025-10-15 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Bcbs | Blue Choice Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Molina Healthcare | Medi-Cal Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Scripps Health | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | UnitedHealthCare | Choice/Choice Plus/Core/Options PPO | — | — | — | 2025-07-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Fidelis | Fidelis Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | North Carolina State Health Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $1,482.09 | — | — | 2026-03-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Mvp Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Mvp Health Care | Medicaid 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 ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Medicare | Medicare- Traditional | $1,632.00 | — | — | 2025-11-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem Pathway | Hmo | $1,735.12 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem Pathway | Hmo | $1,735.12 | — | — | 2024-07-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | $1,766.36 | — | — | 2025-07-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Oxford | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Oxford | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | $1,822.18 | — | — | 2025-07-01 | MRF ↗ |
| NORMAN REGIONAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| NORMAN REGIONAL OutpatientFacility | BCBS | Blue Choice PPO | — | — | — | 2026-01-01 | MRF ↗ |
| NORMAN REGIONAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| NORMAN REGIONAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-01 | MRF ↗ |
| NORMAN REGIONAL OutpatientFacility | BCBS | Blue Advantage PPO | — | — | — | 2026-01-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non LCU All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Fidelis | Fidelis Ep 1-2 - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Connector Other Commercial Plan | $2,329.96 | — | — | 2025-10-15 | 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 ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Health Partners/Jefferson Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Health Partners/Jefferson Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Aetna | Dual Eligible Medicare/Medicaid Managed Care Plan | $2,732.14 | — | — | 2025-01-01 | MRF ↗ |
| HAMILTON MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | AmeriHealth | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Caresource | Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | BCBS | HMO/POS/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | CareSource | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $3,181.00 | — | — | 2026-01-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Molina | Medicaid Managed Care Plan | $3,225.69 | — | — | 2025-01-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Mhs Hoosier Care Connect | All Plans | $3,359.35 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Mhs Hoosier Care Connect | All Plans | $3,359.35 | — | — | 2024-07-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Kaiser | Medicare Managed Care Plan | $3,521.74 | — | — | 2024-09-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Workers Comp | Workers Compensation Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | UnitedHealthCare | Core Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | ASR Other Commercial Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Core Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Blue Care Network Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | ASR Other Commercial Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Blue Care Network Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Core Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $3,840.40 | — | — | 2026-07-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Mcr Uhc Dual Plan | All Plans | $3,873.97 | — | — | 2025-05-01 | 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 ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $3,968.58 | — | — | 2026-07-18 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $4,000.44 | — | — | 2025-07-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | 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.