5342 — Level 2 Abdominal/Peritoneal/Biliary And Related Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 2 Abdominal/Peritoneal/Biliary and Related Procedures (OTHER 5342) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5342?code_type=OTHER
MLA (9th ed.)
“Level 2 Abdominal/Peritoneal/Biliary and Related Procedures (OTHER 5342) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5342?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 2 Abdominal/Peritoneal/Biliary and Related Procedures (OTHER 5342) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5342?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,484–$8,382 (25th–75th percentile) across 692 hospitals · 531 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5342 — 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 |
|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL OutpatientFacility | Summacare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MILWAUKIE HOSPITAL OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Moda | Oebb All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HAMILTON MEDICAL CENTER OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PHOEBE PUTNEY MEMORIAL HOSPITAL OutpatientFacility | Maestro | Umr Employee | — | — | — | 2026-04-01 | — |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $31.20 | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $31.20 | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $31.20 | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $136.28 | $114.48 | 2026-05-09 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Univera Healthcare | All Commercial Plans | $85.00 | — | — | 2026-07-18 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Oxford Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Health Alliance Plan | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Optum | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Centene | Homestate Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ANNA JAQUES HOSPITAL OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 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 ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Zing | Medicare 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 ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Meridian | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Clear Spring | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Johns Hopkins All Children's Hospital OutpatientFacility | Gulf Coast Provider Network | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST BAYTOWN HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care - HMO | $250.00 | — | — | 2025-01-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Carrollwood OutpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $1,064.00 | $532.00 | 2026-05-13 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Cigna | Oap | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH REDMOND OutpatientFacility | Peach State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Harvard Pilgrim Healthcare | HMO/POS | — | — | — | 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 ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Community Health Group | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Medicaid Ks Aetna | All Plans | $480.87 | — | — | 2025-05-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PELHAM MEDICAL CENTER OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Bcbs | Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Ambetter | Az Complete Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Ambetter | Az Complete Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER 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 ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Blue Shield | Uniform Medical Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | La Care | Medi-Cal 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 ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Absolute Total Care | 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 ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Community Family Care Medical Group | Ipa Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL LOS BANOS OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Blueessentials Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | United Healthcare | 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 ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Blue Shield | Asuris All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Blue Shield | Asuris All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Community Health Group | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL MEDICAL CENTER OutpatientFacility | Health Plan Of San Joaquin | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Bcbs | Hmo Blue | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Port Charlotte OutpatientFacility | Aetna | All Plans | $791.24 | — | — | 2026-01-01 | MRF ↗ |
| MUSC HEALTH MARION MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Bcbs | Bluechoice Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Community Health Group | Medicaid Managed Care Plan – Hmo | $806.71 | — | — | 2025-11-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Msq | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN MEMORIAL CITY HOSPITAL OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Health Net | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH MARION MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS HUNTINGDON OutpatientFacility | Amerihealth Caritas | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Highmark Senior Solutions Company | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Upmc For Life Complete Care | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For Life Complete Care | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Blue Cross | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | United Healthcare Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | United Healthcare Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc Health Plan | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Blue Cross | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For You | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Upmc For Life | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Upmc Health Plan | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Aetna Medicare | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield 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 Clearfield OutpatientFacility | Highmark Senior Solutions Company | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL LOS BANOS OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Lee Health Employee | Other Commercial Plan | $879.38 | — | — | 2025-11-01 | 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| OSF SAINT ELIZABETH MDL CTR OutpatientFacility | Bcbs | Blue Choice Preferred Ppo | — | — | — | 2026-03-31 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Blue Access Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Aetna | Gatekeeper Hmo/Pos/Epo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Community Health Group | Medicaid Managed Care Plan – Hmo | $1,000.00 | — | — | 2025-11-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Superior Healthplan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann The Woodlands Medical Center OutpatientFacility | Superior Healthplan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Superior Healthplan | Exchange | — | — | — | 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 ↗ |
| 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 ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1,061.45 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1,061.45 | — | — | 2026-03-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan Of Rhode Island | Medicaid Managed Care Plan | $1,100.00 | — | — | 2025-01-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $1,152.39 | $4,484.00 | $1,314.26 | 2026-07-05 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Phcs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Superior Healthplan | Star Kids 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.