5415 — Level 5 Gynecologic Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 5 Gynecologic Procedures (OTHER 5415) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5415?code_type=OTHER
MLA (9th ed.)
“Level 5 Gynecologic Procedures (OTHER 5415) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5415?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 5 Gynecologic Procedures (OTHER 5415) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5415?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,706–$8,995 (25th–75th percentile) across 665 hospitals · 684 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5415 — 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 |
|---|---|---|---|---|---|---|---|
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MEDFORD MEDICAL CENTER OutpatientFacility | Moda | Oebb All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY 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-ORANGE 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 ↗ |
| 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 ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Ambetter | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Ambetter | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Centene | Home State Health Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $25.53 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $25.53 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $25.53 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $26.04 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $26.29 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $26.81 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL LOS BANOS OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL LOS BANOS OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $45.24 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $45.80 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $45.80 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $45.80 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $50.95 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| SUTTER COAST HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Triwest Healthcare Alliance | Government | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $75.24 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Sentara Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $79.20 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $85.80 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $88.57 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $89.30 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $96.91 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Healthcare Solutions Group | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $101.20 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $105.60 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $107.15 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $107.15 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $107.15 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $110.73 | $119.06 | $89.30 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $110.88 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER 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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $132.00 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $132.00 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $132.00 | $132.00 | $93.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $140.62 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $140.62 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Medical Mutual | Mmo Southern Ohio Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $150.00 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $150.00 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $153.12 | $218.75 | $109.38 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $159.38 | $187.50 | $93.75 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $164.06 | $218.75 | $109.38 | 2026-05-09 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Shield | 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 ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $196.88 | $218.75 | $109.38 | 2026-05-09 | 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 ↗ |
| SAINT FRANCIS HOSPITAL, INC 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 ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | Medicaid 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HEALTH HOBBS HOSPITAL OutpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Molina - Wchob | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Molina - Wchob | 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 ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Medicare | Medicare 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 WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Careoregon | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | SANTA CLARA FAMILY HEALTH PLAN | SCFHP MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 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 ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Hoosier Healthwise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Hoosier Healthwise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Summacare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE NEWBERG MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE NEWBERG MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Bcbs | Hmo Blue | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINCHESTER HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | CIGNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Ambetter | Marketplace Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Heritage Provider Network | 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 ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Atrio | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Atrio | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Cigna | All Other Benefit Plans Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Amerihealth | Medicaid Outpatient | $425.77 | $14,957.08 | $12,713.52 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | Amerihealth | Medicaid Outpatient | $425.77 | $14,957.08 | $12,713.52 | 2026-05-14 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Amerihealth | Medicaid Outpatient | $425.77 | $14,957.08 | $12,713.52 | 2026-05-23 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | PHCS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | PHCS | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Covered Ca Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Covered Ca Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Heritage Provider Network | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Valley Presbyterian Hospital | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Valley Presbyterian Hospital | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Federal Emp | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Qualchoice | Qualchoice Mgd Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Jrmc | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Cigna Health Plan | Cigna Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | United Hlthcare Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Umr | Umr | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Golden Rule | Uhc Golden Rule | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Ambetter Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Wellcare | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aarp | Aarp Mcr Complete | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Allwell | Allwell Medicare Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Health Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Harvard Pilgrim Healthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Smart | Preferred Care | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | United Healthcare | Nat | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Anthem | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Kaiser Permanente | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sana Benefits | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Triwest Healthcare Alliance | Triwest | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sutter Medical Foundation | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Multiplan | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna Better Health Of Mi | Managed Medicaid | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $14.93 | $14.93 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $14.93 | $14.93 | 2026-05-23 | 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.