5722 — Level 2 Diagnostic Tests And Related Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 2 Diagnostic Tests and Related Services (OTHER 5722) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5722?code_type=OTHER
MLA (9th ed.)
“Level 2 Diagnostic Tests and Related Services (OTHER 5722) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5722?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 2 Diagnostic Tests and Related Services (OTHER 5722) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5722?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $275–$697 (25th–75th percentile) across 703 hospitals · 893 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5722 — 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 |
|---|---|---|---|---|---|---|---|
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Wisconsin 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 - FOUNTAIN VALLEY 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-ORANGE OutpatientFacility | Caloptima | Monarch 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-LAKEWOOD 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 - PLACENTIA LINDA OutpatientFacility | Caloptima | Monarch 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 | 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 - LOS ALAMITOS 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-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $1.27 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $1.27 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $1.27 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $1.42 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $2.09 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $2.20 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $2.39 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $2.46 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $2.94 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Beech Street | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $3.08 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $3.67 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $3.67 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $3.67 | $3.67 | $2.61 | 2026-05-08 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Pacificsource | Behavioral Health Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNION MEDICAL CENTER OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Healthspring | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Clover | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Superior Healthplan | Star Kids Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $17.41 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The Alliance Network Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $18.28 | — | — | 2025-07-01 | 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 ↗ |
| SWEDISH 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 ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | BCBS | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Unitedhealthcare | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Unitedhealthcare | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Pa Health & Wellness | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Pa Health & Wellness | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PELHAM MEDICAL CENTER OutpatientFacility | Bcbs | Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Sonder | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Community Plan | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Anthem | Anthem Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Anthem | Anthem Commercial | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield Fep | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Unitedhealthcare | Unitedhealthcare Commercial | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Harvard Pilgrim | Harvard Pilgrim Commercial | — | — | — | 2025-07-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Unitedhealthcare | Unitedhealthcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Allegiance | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $28.59 | — | — | 2025-07-01 | 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 ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Phcs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Unitedhealthcare | Options Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Mvp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Healthcare | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Blue Cross | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Kaiser Permanente | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Kaiser Permanente | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Kaiser Permanente | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL MUSKOGEE OutpatientFacility | Aetna | Better Health Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Aetna | Better Health Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Noble Community Medical Associates | Medi-Cal Ipa Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Noble Community Medical Associates | Medi-Cal Ipa Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | All Commercial Plans | — | — | — | 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 ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Devoted | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TRINITY HOSPITALS OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $35.40 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $35.40 | — | — | 2026-03-01 | 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 ↗ |
| SHARON HOSPITAL OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Bcbs | Anthem Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Immergrun | 50 District Church Group All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Immergrun | 50 District Church Group All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN DUTCHESS HOSPITAL OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Indiana 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 ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Mdwise | Hoosier Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | Pathways Other Commercial Plan | — | — | — | 2024-09-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Emblemhealth | Essential Plan Government | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $41.03 | — | — | 2026-03-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Mdwise | Hoosier Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Clover Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Exchange Plan Bronze | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Group Health Cooperative | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Group Health Cooperative | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $44.16 | — | — | 2025-07-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Msq | — | — | — | 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.