5223 — Level 3 Pacemaker And Similar Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 3 Pacemaker and Similar Procedures (OTHER 5223) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5223?code_type=OTHER
MLA (9th ed.)
“Level 3 Pacemaker and Similar Procedures (OTHER 5223) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5223?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 3 Pacemaker and Similar Procedures (OTHER 5223) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5223?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,026–$13,463 (25th–75th percentile) across 550 hospitals · 573 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5223 — 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 |
|---|---|---|---|---|---|---|---|
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Marketplace | $2.53 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Marketplace | $3.45 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Mmo | Marketplace | $3.45 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Bgsu | $4.49 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Wood County Schools | $4.49 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | — | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Primary Health Services Dca | Commercial | — | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | United Healthcare | Commercial | — | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Anthem | Traditional | $4.50 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Ppo | $4.55 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Frontpath | Commercial | $4.60 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Paramount | Commercial | $4.60 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Advanced Medical Pricing | Index Plans | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna | Commercial | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Cigna | Commercial | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Occunet | Bgsu Student Athletes | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Aetna | Commercial | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Medben | Index Plans | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Hmo | $4.72 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Ppo | $4.77 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Ohio Health Choice | Commercial | $4.89 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Claimdoc | Index Plans | $5.00 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Traditional | $5.12 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | United Healthcare | Commercial | $5.12 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Health Ohio Network | Commercial | $5.18 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | First Health | Commercial | $5.18 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Health Choice | Commercial | $5.23 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Humana | Commercial | $5.29 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Healthscope Benefits | Commercial | $5.35 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Primary Health Services Dca | Commercial | $5.35 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Unicare | Commercial | $5.41 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Private Healthcare Systems | Commercial | $5.41 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Multiplan | Commercial | $5.41 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Three Rivers Provider Network | Commercial | $5.41 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Ohio Preferred Provider Network | Commercial | $5.46 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Npn Medical Resources | Commercial | $5.46 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Npn Medical Resources | Commercial | $5.46 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Flora | Commercial | $5.46 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Beech Street | Commercial | $5.46 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Ohio Health Group | Commercial | $5.58 | $5.75 | $5.75 | 2026-05-09 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Aetna | Aetna Hmo/Pos/Ppo - Slw | — | — | — | 2026-04-01 | 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 ↗ |
| EMORY HILLANDALE HOSPITAL OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $16.51 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $16.51 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $16.51 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $16.84 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $17.01 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $17.34 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $24.51 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $29.62 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $29.62 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $29.62 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $31.39 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $32.95 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $48.66 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $51.22 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $55.49 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $57.28 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $68.30 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $71.71 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| MEMORIAL HERMANN NORTHEAST HOSPITAL OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $85.37 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $85.37 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $85.37 | $85.37 | $60.63 | 2026-05-08 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Unitedhealthcare | Advantage Individual Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SACRED HEART MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | United Healthcare | United Healthcare Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $107.79 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Fallon Health Community Care | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $126.00 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $126.00 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Health First Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicaid Hmo | Caresource Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Cigna | Oap Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $182.44 | $202.71 | $152.03 | 2026-05-08 | MRF ↗ |
| CAROLINA PINES REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Optum Health | Transplant 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 SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Bcbs | Blue Value Secure Medicare 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 SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Medicare Hmo | Medigold | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Ma | — | $326.30 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Ma | — | $326.30 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal 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 | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma | — | $337.81 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Ma | — | $345.49 | $1,977.00 | $579.46 | 2026-05-31 | 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 ↗ |
| 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 ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Affinity | Affinity Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CYPRESS HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Medicare | — | $380.04 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Medicare | — | $383.88 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Mc Adv | — | $383.88 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Medicare | — | $383.88 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Medicare | — | $383.88 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cbc Medicare | — | $383.88 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Vibra Medicare | — | $391.56 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Humana Medicare | — | $391.56 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Medicare | — | $410.75 | $1,977.00 | $579.46 | 2026-05-31 | 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 ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Health Cost Sol | Ark Dept Of Correct | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Wellcare | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Ambetter Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Cip Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Umr | Umr | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Humana | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $508.09 | $1,977.00 | $579.46 | 2026-05-31 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $540.54 | $772.20 | $386.10 | 2026-05-09 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $579.15 | $772.20 | $386.10 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $579.15 | $772.20 | $386.10 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $579.15 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $617.76 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $617.76 | $772.20 | $386.10 | 2026-05-23 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $656.37 | $772.20 | $386.10 | 2026-05-23 | 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 ↗ |
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.