5671 — Level 1 Pathology
Cite this view
HANK Price Transparency. (n.d.). Level 1 Pathology (OTHER 5671) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5671?code_type=OTHER
“Level 1 Pathology (OTHER 5671) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5671?code_type=OTHER. Accessed .
“Level 1 Pathology (OTHER 5671) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5671?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $52–$163 (25th–75th percentile) across 727 hospitals · 735 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5671 — 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | BCBS | Anthem Senior Advantage Medicare Managed Care Plan | $1.21 | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Aultcare | Employee | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE 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 - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Options Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Medcost | Mbs Administered Plans All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Empire All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Empire All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Optimum Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Molina Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Molina Health Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | MedCost | All Commercial Plans | $5.09 | — | — | 2025-07-01 | MRF ↗ |
| MOUNT AUBURN HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Cigna | Connect Ifp Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Evolutions Health | Tier One Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Bcbs | Hpn Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Caloptima | Medi-Cal 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 JOHN'S HEALTH CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Freedom Health | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Cigna | Oap | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH 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 ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | $8.20 | — | — | 2025-10-31 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL 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 ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $8.54 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $8.54 | — | — | 2026-03-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Unitedhealthcare | Choice Select All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Tricare | All Plans | $9.47 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Tricare | All Plans | $9.47 | — | — | 2024-07-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | United Health Care | All Commercial Plans | $9.77 | — | — | 2025-07-01 | MRF ↗ |
| SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER OutpatientFacility | Centene | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For You | All Plans | $9.90 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS ELK OutpatientFacility | Upmc For You | All Plans | $9.90 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS TYRONE OutpatientFacility | Upmc For You | All Plans | $9.90 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS ELK OutpatientFacility | Health Partners | All Plans | $9.90 | — | — | 2025-08-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $9.90 | — | — | 2026-03-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | BCBS | Essential Plan 1 & 2 Government | $9.93 | — | — | 2026-07-18 | MRF ↗ |
| SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER OutpatientFacility | HealthChoice | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Cigna | Individual Family Plan Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Primewest | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MEDICAL MUTUAL OF OHIO | SuperMed HMO/POS/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MEDICAL MUTUAL OF OHIO | SuperMed HMO/POS/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Medical Mutual Of Ohio | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | Employee | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Absolute Total Care | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Caresource Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Caresource Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | MVP | Medicaid Managed Care Plan | $11.23 | — | — | 2025-01-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | $11.76 | — | — | 2025-10-31 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH SEBRING OutpatientFacility | Sunshine Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDEN MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Bcbs | Lowcountry Blue Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $12.86 | — | — | 2025-01-01 | MRF ↗ |
| MADISON HEALTH OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MADISON HEALTH OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MADISON HEALTH OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Medicare/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 ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-10-12 | MRF ↗ |
| WATERTOWN MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TRINITY HOSPITALS OutpatientFacility | Triwest Healthcare Alliance | Tricare West Government | — | — | — | 2026-04-01 | MRF ↗ |
| Johns Hopkins All Children's Hospital OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Medicare | Medicare- Traditional | $13.58 | — | — | 2025-11-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Health Alliance Plan | Ahlic Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Aetna | Better Health 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 ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Medicaid Oklahoma Aetna | Medicaid Oklahoma Aetna | $14.04 | — | — | 2025-05-01 | MRF ↗ |
| MERCY HEALTH SYSTEM CORP OutpatientFacility | iCare | Medicaid Managed Care Plan | $14.19 | — | — | 2025-07-01 | MRF ↗ |
| MERCY HEALTH SYSTEM CORP OutpatientFacility | Care Wisconsin First | Medicaid Managed Care Plan | $14.19 | — | — | 2025-07-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BUCKEYE | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BUCKEYE | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | CIGNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | CIGNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Ambetter Health | Sunshine Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | $14.56 | — | — | 2025-01-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS ELK OutpatientFacility | Rhc Upmc For You | All Plans | $14.85 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS ELK OutpatientFacility | Geisinger Family Medicaid Hmo | All Plans | $14.85 | — | — | 2025-08-01 | MRF ↗ |
| WINCHESTER HOSPITAL OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Healthlink | HMO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Centene Ambetter | Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Blue Access PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | NAP Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | PHCS | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Blue Access Choice All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Medica | Employee | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Options PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Meridian | Youth Care Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Cigna | OAP Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Community Care Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Non-PPO Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | CIGNA | New Business Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | CIGNA | New Business Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Bcbs | State Health Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | $15.00 | — | — | 2025-07-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Allwell | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Allwell | Medicare 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.