5723 — Level 3 Diagnostic Tests And Related Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 3 Diagnostic Tests and Related Services (OTHER 5723) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5723?code_type=OTHER
MLA (9th ed.)
“Level 3 Diagnostic Tests and Related Services (OTHER 5723) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5723?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 3 Diagnostic Tests and Related Services (OTHER 5723) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5723?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $397–$967 (25th–75th percentile) across 651 hospitals · 704 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5723 — 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 |
|---|---|---|---|---|---|---|---|
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Icare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | AETNA | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Buckeye Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Community Plan Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Community Plan Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Molina | Exchange | $4.32 | — | — | 2025-07-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $5.15 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | $5.27 | — | — | 2025-07-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Humana | Medicare 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 ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | 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 - 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-ORANGE OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Amerihealth | Caritas Ohio Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD HOSPITAL OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Humana | Medicare Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $10.82 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $10.82 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Medicaid Ks Uhc | All Plans | $12.51 | — | — | 2025-05-01 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Unitedhealthcare | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Fallon Health Community Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicare Managed Care - Behavioral Health | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $17.92 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $18.03 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $18.03 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $19.45 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care | $19.54 | — | — | 2026-07-18 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Health Alliance Plan | Ahlic Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $20.60 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $20.60 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Clover Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Clover Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA ALBEMARLE MEDICAL CENTER OutpatientFacility | Humana | Choicecare Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $25.75 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $27.19 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $27.30 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Community Health Plan Of Washington | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Community Health Plan Of Washington | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $29.87 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $29.97 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $30.39 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Aetna | Better Health Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Managed Care | $30.90 | — | — | 2026-07-18 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY FAMILY HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Coordinated Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $33.48 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $34.51 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Valley Presbyterian Hospital | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Valley Presbyterian Hospital | Medi-Cal 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 ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $36.05 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $36.05 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $37.60 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan San Joaquin County | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS OutpatientFacility | Anthem | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Behavioral Health | — | — | — | 2026-04-01 | MRF ↗ |
| FULTON COUNTY HEALTH CENTER OutpatientFacility | Molina | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $41.20 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Dignity Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $42.23 | $51.50 | $5.15 | 2026-07-31 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Gold Coast Health Plan | 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 ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Healthpartners | Nghs Employee | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Healthpartners | Nghs Employee | — | — | — | 2026-01-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Unicare | Medicaid Managed Care Plan | $45.34 | — | — | 2025-07-01 | MRF ↗ |
| LOGAN REGIONAL MEDICAL CENTER OutpatientFacility | Unicare Medicaid | Unicare Medicaid | $45.34 | — | — | 2025-01-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Independent Health Association | Medisource Medicaid Managed Care | $48.33 | — | — | 2026-07-18 | 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 ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Contracted Commercial | First Health | — | — | — | 2026-04-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Bcbs | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Bcbs | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem Indiana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Unitedhealthcare | State Health Benefit Plan Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Unitedhealthcare | State Health Benefit Plan Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Hoosier Healthwise 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 ↗ |
| ASPIRUS MERRILL HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | $54.85 | — | — | 2025-07-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Hoosier Healthwise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | Preferred Blue Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA ALBEMARLE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Preferred | Medi-Cal Ipa Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Preferred | Medi-Cal Ipa Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH WATERMAN OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Health Alliance Plan | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-01-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Medicare Replacement | Medicare Replacement | — | — | — | 2026-04-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Medicare Replacement | Medicare Replacement | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cchp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $61.18 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $61.18 | — | — | 2026-03-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Multiplan, Inc | Aetna Health Plan Ppo Networks | $69.37 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Community Plan | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $70.76 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $70.91 | — | — | 2026-03-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Phcs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Unitedhealthcare | Community Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH SYSTEM CORP OutpatientFacility | iCare | Medicaid Managed Care Plan | $72.97 | — | — | 2025-07-01 | MRF ↗ |
| MERCY HEALTH SYSTEM CORP OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | $72.97 | — | — | 2025-07-01 | MRF ↗ |
| MERCY HEALTH SYSTEM CORP OutpatientFacility | MercyCare | BadgerCare Medicaid Managed Care Plan | $72.97 | — | — | 2025-07-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Medicaid Managed Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Tufts Health Plan | Ri Together Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Tufts Health Plan | Ri Together Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Ar Medicaid | All Plans | $74.11 | — | — | 2025-05-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Alohacare Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmaa | Ppo | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Alohacare Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmsa | Hmo/Ppo | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmsa Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Ohana Medicare Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | United Health Care | Hmo/Ppo | — | — | — | 2024-09-01 | 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.