5694 — Level 4 Drug Administration
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Drug Administration (OTHER 5694) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5694?code_type=OTHER
MLA (9th ed.)
“Level 4 Drug Administration (OTHER 5694) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5694?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Drug Administration (OTHER 5694) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5694?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $338–$6,108 (25th–75th percentile) across 621 hospitals · 748 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5694 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $1.67 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $1.67 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $1.67 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $1.70 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $1.72 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $1.75 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $2.99 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $2.99 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $2.99 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $3.32 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Wellpoint | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $4.91 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $5.17 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $5.60 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $5.78 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch 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 - PLACENTIA LINDA OutpatientFacility | Caloptima | Monarch 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-ORANGE OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE 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 ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $6.89 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $7.23 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Perennial Advantage Of Ohio I-Snp | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Exchange Plan Gold | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $8.61 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $8.61 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $8.61 | $8.61 | $6.11 | 2026-05-08 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Emblem Health - HIP | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JAVON BEA HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-03-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Meridian | MMAI Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Meridian | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Qhp Government Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | BCBS | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Bcbs | Osf Employee | — | — | — | 2026-03-31 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial HMO | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Superior Healthplan | Star Kids Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $26.93 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $27.95 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $27.95 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $27.95 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $27.95 | — | — | 2026-05-23 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $27.95 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $27.95 | — | — | 2026-05-14 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $27.95 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $27.95 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $27.95 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $27.95 | — | — | 2026-05-06 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $31.05 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $31.05 | — | — | 2026-05-17 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Cigna | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Bcbs | Blue Lincs Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Platinum | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $37.91 | — | — | 2026-05-17 | MRF ↗ |
| WILMINGTON VA MEDICAL CENTER OutpatientFacility | Ibc | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Blue Shield | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Blue Shield | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $41.31 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $42.08 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $42.08 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $42.08 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $42.08 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $42.08 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $42.08 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $42.08 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $42.08 | — | — | 2026-05-14 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $42.08 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $42.08 | — | — | 2026-05-09 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Caresource Indiana | 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 ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $47.63 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $47.63 | — | — | 2026-05-17 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Monarch Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $49.30 | — | — | 2026-05-17 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Superior Healthplan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $53.72 | — | — | 2026-05-17 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Cigna | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Cigna | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $54.16 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $54.16 | — | — | 2026-03-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | Emblem | Emblem Hip/Ghi Hmo Comm - Nyeei | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Gold | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Silver | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | First Health/Coventry | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Sunshine State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Ambetter | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $61.94 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $61.94 | — | — | 2026-05-17 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $62.76 | — | — | 2026-03-01 | 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 ↗ |
| PRINCETON BAPTIST MEDICAL CENTER OutpatientFacility | Viva Helath | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INGALLS MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | San Joaquin | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | Home State Health Plan | Home State Health Plan | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Dual Complete Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | Home State Health Plan | Home State Health Plan | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare Dual Complete Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | United Healthcare | United Healthcare | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | Humana | Humana Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| WESTERN MISSOURI MEDICAL CENTER OutpatientFacility | Humana | Humana Medicare Replacement | — | — | — | 2024-12-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | Empire | Empire Bc - Hmo/Epo - Nyeei | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Central California Alliance For Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Upmc | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan/Ccs | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Community Plan | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Cigna | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage HMO | — | — | — | 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH UNITED HOSPITAL OutpatientFacility | Mclaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH UNITED HOSPITAL OutpatientFacility | Priority Health Choice | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH UNITED HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Healthsprings Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Select Hmo Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Champusva | Champus | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Unicare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Emblem Health - HIP | Essential Plan 200-250 | — | — | — | 2026-04-01 | MRF ↗ |
| Sutter Medical Center, Sacramento OutpatientFacility | Anthem | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| Sutter Medical Center, Sacramento OutpatientFacility | Anthem | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Mdwise | Hoosier Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Mdwise | Hoosier Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Essential Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Contra Costa Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER 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 LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 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.