5231 — Level 1 Icd And Similar Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 1 ICD and Similar Procedures (OTHER 5231) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5231?code_type=OTHER
MLA (9th ed.)
“Level 1 ICD and Similar Procedures (OTHER 5231) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5231?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 1 ICD and Similar Procedures (OTHER 5231) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5231?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,929–$25,551 (25th–75th percentile) across 511 hospitals · 443 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5231 — 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 |
|---|---|---|---|---|---|---|---|
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Centene | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $24.23 | — | — | 2025-12-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 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 | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Aultcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Marketplace-Exchange Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Connecticare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | $110.54 | — | — | 2024-09-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Of Nd | All Commercial Plans | — | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WEST HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $965.00 | $482.50 | 2026-05-13 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Aetna | Medicare 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 ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $350.00 | — | — | 2025-01-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Aarp | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Wellmed | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DANBURY HOSPITAL OutpatientFacility | Advantage Plus Network | Medicare Managed Care Plan | $400.00 | — | — | 2025-01-01 | 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 ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aarp | Aarp Mcr Complete | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Health Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Cigna Health Plan | Cigna Hmo | — | — | — | 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 | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Ambetter Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Magellan Comm | — | $3,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Cross Commercial | — | $3,129.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann The Woodlands Medical Center OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3,647.08 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3,647.08 | — | — | 2026-03-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH REDMOND OutpatientFacility | Peach State Health Plan | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Uhc Medicare- Aarp | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Mdwise Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Mdwise Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $4,226.71 | — | — | 2026-03-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Humana Healthy Horizons Ky Medicaid | All Plans | $4,311.08 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Humana Healthy Horizons Ky Medicaid | All Plans | $4,311.08 | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Tricare | — | $4,413.31 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Unicare | Medicaid Managed Care Plan | $4,884.60 | — | — | 2026-01-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Hmo-Non Hcmg | — | $4,951.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Uhc Ppo/Hmo-Hcmg | — | $4,951.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Molina Medi-Cal | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Shield Aca/Covered Ca (Epn) | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Shield Commercial | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Cross Medi-Cal | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Blue Shield Senior | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Aetna Comm | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Kaiser Medi-Cal | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Astiva Medicare Advantage | — | $5,000.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Bcbs | Anthem Pathways Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| DANBURY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathways Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HEMET GLOBAL MEDICAL CENTER | Cigna | — | $6,670.00 | $5,000.00 | $3,500.00 | 2026-07-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Ppo | $6,807.52 | — | — | 2025-10-31 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Cigna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PHOEBE SUMTER MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | — |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Novitas Solutions | Medicare | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Bcbs | Blue Cross Medicare Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | United Health Care | Uhc Medicare Dual | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | United Health Care | United Health Care | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | United Health Care | Uhc Medicare Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Cigna | Cigna Open Access | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Blue Cross | Blue Cross De | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Aetna | Aetna Medicare Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Aetna | Aetna Ppo Pos | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Ibc | Ibc Ppo | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Amerihealth Caritas | Amerihealth Caritas Vip Medicare Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Higmark Blue Cross Blue Shield | Health Options | — | — | — | 2025-01-01 | MRF ↗ |
| CHRISTIANA HOSPITAL OutpatientFacility | Blue Cross | Blue Card | — | — | — | 2025-01-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | New Hampshire Healthy Families | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Wellcare | Medicare Advantage | $8,275.98 | $22,446.19 | $17,956.95 | 2026-07-15 | MRF ↗ |
| SUTTER SOLANO MEDICAL CENTER OutpatientFacility | Anthem | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Healthfirst | Healthfirst Medicare Onn-Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $8,441.50 | $22,446.19 | $17,956.95 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Wellcare | Medicare Advantage | $8,524.26 | $22,446.19 | $11,223.10 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Wellcare | Medicare Advantage | $8,607.02 | $22,446.19 | $17,956.95 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Wellcare | Medicare Advantage | $8,689.78 | $22,446.19 | $17,956.95 | 2026-07-15 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Cigna | HealthSpring Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $9,287.02 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ALASKA MEDICAL CENTER OutpatientFacility | Moda | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Humana | Medicare Managed Care Plan | $10,969.71 | — | — | 2024-09-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $11,200.00 | — | — | 2025-01-01 | MRF ↗ |
| JOHNS HOPKINS HOSPITAL, THE OutpatientFacility | Cigna Med Adv | Cigna Medicare Advantage Hmo | $11,341.24 | — | — | 2025-07-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $11,739.36 | — | — | 2026-07-18 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Health New England | Be Healthy ACO Medicaid Managed Care Plan | $11,975.52 | — | — | 2025-10-15 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $12,121.25 | — | — | 2026-07-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicare Advantage Plans | $12,141.40 | — | — | 2025-07-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $12,266.50 | — | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $12,283.20 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $12,283.20 | — | — | 2026-03-18 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Zing Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicare Duals Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Amerihealth | Three Rivers Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Community Health Choice | Silver & Gold Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 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.