5464 — Level 4 Neurostimulator And Related Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Neurostimulator and Related Procedures (OTHER 5464) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5464?code_type=OTHER
MLA (9th ed.)
“Level 4 Neurostimulator and Related Procedures (OTHER 5464) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5464?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Neurostimulator and Related Procedures (OTHER 5464) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5464?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,543–$25,458 (25th–75th percentile) across 548 hospitals · 551 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5464 — 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 |
|---|---|---|---|---|---|---|---|
| PROVIDENCE MEDFORD MEDICAL CENTER OutpatientFacility | Moda | Non-Oebb All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Moda | Non-Oebb All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $3.54 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $3.54 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $3.54 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $3.97 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $4.63 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $4.63 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $4.63 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $4.63 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $5.53 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $5.53 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana | Humana | $5.62 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amg | Amg | $5.90 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $11.24 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Vantage Health Plan | Vantage Health Plan | $14.04 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $57.40 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $75.70 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Texas Annual Conference | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $149.41 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $162.16 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Caresource Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $169.33 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $179.29 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $179.29 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $179.29 | $199.21 | $149.41 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $185.27 | $199.21 | $149.41 | 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 ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Gilsbar 360 | Gilsbar 360-Non-Exclusive | $201.47 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Gilsbar 360 | Gilsbar 360-Exclusive | $208.58 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $221.40 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $221.40 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $221.40 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $225.83 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $228.05 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $232.51 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $255.94 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $255.94 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $273.00 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $273.00 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $278.68 | $398.12 | $199.06 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $290.06 | $341.25 | $170.62 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $298.59 | $398.12 | $199.06 | 2026-05-09 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Wellmed | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | 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 ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $358.31 | $398.12 | $199.06 | 2026-05-09 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Commonwealth Care Alliance | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 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 ↗ |
| Willis-knighton Medical Center OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $652.54 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $744.12 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $768.16 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Cigna | Network C-24 Hmo/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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $915.84 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $1,144.80 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $1,144.80 | $1,144.80 | $813.04 | 2026-05-08 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,580.80 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hoosier Care Connect Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Centene | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem - Hhw Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Hip Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem - Hip Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Hhw Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Bcbs | Anthem - Hip Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Bcbs | Anthem - Hhw Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Superior Healthplan | Star Kids Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Bcbs | Tenncare Select Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $2,292.16 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $2,292.16 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $2,292.16 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Bcbs - Asc | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Bcbs - Asc | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan - Asc | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan - Asc | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Humana - Asc | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Humana - Asc | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Ohio Orthopedic Surgery Institute Llc OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Alignment Health Plan | Alignment Health Plan Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Hmo | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Alignment Health Plan | Alignment Health Plan Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Aetna | Aetna Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | United Healthcare | United Healthcare Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Shield | Blue Shield Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Shield | Blue Shield Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | United Healthcare | United Healthcare Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Hmo | — | — | — | 2025-10-31 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Aetna | Aetna Medicare Advantage | — | — | — | 2025-10-31 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | IBC HMO | — | — | — | 2025-07-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Highmark Wholecare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | IBC PPO | — | — | — | 2025-07-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthCare | Advantage Group Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - PPO | — | — | — | 2025-07-01 | MRF ↗ |
| SUTTER DAVIS HOSPITAL OutpatientFacility | Anthem | Individual | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER DAVIS HOSPITAL OutpatientFacility | Anthem | Individual | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Ibc Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Ibc Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Aetna | Other Plan | — | — | — | 2025-07-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | United Healthcare | Commercial | — | — | — | 2025-07-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Cigna | Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3,180.86 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3,180.86 | — | — | 2026-03-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Ibc Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Cigna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Aetna | PPO | — | — | — | 2025-07-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Aetna | Advantra Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | IBC Advantage Medicare Managed Care - HMO | — | — | — | 2025-07-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | IBC PPO | — | — | — | 2025-07-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $3,686.40 | — | — | 2026-03-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Cigna | Oap Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Cigna | Oap Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $3,952.00 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $3,952.00 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $3,952.00 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicare Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | Sentara Health Plans | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,347.20 | $7,904.00 | $5,532.80 | 2026-05-27 | MRF ↗ |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Out-Of-State | Bcbs Out-Of-State Ppo Other | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER OutpatientFacility | Ehp | Ehp Employee Health Plan New 12/2022 | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER OutpatientFacility | Blue Cr/Sh Fep | Blue Cr/Sh Fep Standard Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER OutpatientFacility | Johns Hopkins Advantage Md | Johns Hopkins Advantage Md Hmo Med Adv | — | — | — | 2025-07-01 | MRF ↗ |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER OutpatientFacility | Johns Hopkins Advantage Md | Johns Hopkins Advantage Md Ppo Med Adv | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | 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.