5302 — Level 2 Upper Gi Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 2 Upper GI Procedures (OTHER 5302) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5302?code_type=OTHER
MLA (9th ed.)
“Level 2 Upper GI Procedures (OTHER 5302) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5302?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 2 Upper GI Procedures (OTHER 5302) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5302?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,828–$3,626 (25th–75th percentile) across 797 hospitals · 735 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5302 — 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 |
|---|---|---|---|---|---|---|---|
| UCI HEALTH - FOUNTAIN VALLEY 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 - PLACENTIA LINDA OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Unitedhealthcare | Peoples Health Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH HOSPITAL OutpatientFacility | Tufts | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HAMILTON MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Centene | Homestate Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Zing Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS OutpatientFacility | Health Plan Of San Mateo | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Zing | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Centene | Centene Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Peachstate | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER OutpatientFacility | Aetna | Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Medishare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Tufts Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLOUNT MEMORIAL HOSPITAL OutpatientFacility | Cigna Medicare Advantage | Cigna Medicare Advantage | $34.61 | — | — | 2025-07-01 | MRF ↗ |
| HOUSTON METHODIST BAYTOWN HOSPITAL OutpatientFacility | PHCS | PPO | $35.00 | — | — | 2025-01-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Gold Kidney Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | CalOptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | URN | Transplant | $50.00 | — | — | 2024-09-01 | 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 ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Wellsense Health Plan | QHP Government Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL OutpatientFacility | Bcbs | Ppc Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Community Health Options | Community Health Options | $57.84 | — | — | 2025-07-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL 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 ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | UnitedHealthCare | PPO | $60.00 | — | — | 2024-09-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Viva Medicare Advantage | Viva Plus | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Saint Francis Hospital OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | CalOptima | Medi-Cal Medicaid Managed Care Plan | $96.70 | — | — | 2024-07-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Affinity | Affinity Essential Plan 3-4 - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Alignment | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO OutpatientFacility | BCBS | HMO/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Scan Health Plan | Scan Health Plan Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Pacific Pace | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | $150.00 | — | — | 2025-07-01 | MRF ↗ |
| ANDALUSIA HEALTH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Saint Francis Hospital OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Unitedhealthcare - Wchob | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $621.60 | $310.80 | 2026-05-13 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | Other Plan | $197.42 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem | Other Plan | $197.42 | — | — | 2024-07-01 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $200.00 | — | — | 2025-01-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Clear Spring | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Emblem | Emblem Medicaid - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WEST HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL MEDICAL CENTER OutpatientFacility | Health Plan Of San Joaquin | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH OutpatientFacility | Florida Health Care Plan | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Molina Gmc | Ucd Hb Molina Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | — | — | — | 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 ↗ |
| MOUNT AUBURN HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE OutpatientFacility | Sunshine | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Uhc Community Plan Ohio | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Uhc Community Plan Ohio | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | HMO | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Wellfleet | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | ASO GIC Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Commonwealth Care Alliance | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Wellsense | Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Fallon | ACO/MCO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | Direct Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Fully Insured Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Self Funded Employer Sponsored Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Be Healthy ACO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Harvard Pilgrim | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Unicare | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Optum VA CCN | Government | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Unicare | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Connector Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Wellsense | Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Harvard Pilgrim | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | ACO/MCO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Optum VA CCN | Government | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | ACO/MCO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | HMO | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | PPA | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | Direct Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Fully Insured Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Self Funded Employer Sponsored Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Wellfleet | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Be Healthy ACO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | PPA | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | ASO GIC Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Connector Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Fallon | ACO/MCO Medicaid Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Commonwealth Care Alliance | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Pathway X HMO Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | 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 ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Commonwealth Care Alliance | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | LA Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Health Plan Of San Mateo | Health Plan Of San Mateo Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT CLARE MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Medica | Medicare Managed Care Plan | $255.00 | — | — | 2025-12-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Monarch Medical Group | Medi-Cal CalOptima Medicaid Managed Care Plan | $256.09 | — | — | 2024-07-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Valley Health Plan | Valley Health Plan Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | New Hampshire Healthy Families | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Amerihealth | Caritas Ohio Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Geisinger Family Medicaid Hmo | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc Chc | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc Health Plan | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | United Healthcare Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For You | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For Life | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Blue Cross | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Humana Medicare | All Plans | — | — | — | 2025-08-01 | 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.