5724 — Level 4 Diagnostic Tests And Related Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Diagnostic Tests and Related Services (OTHER 5724) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5724?code_type=OTHER
MLA (9th ed.)
“Level 4 Diagnostic Tests and Related Services (OTHER 5724) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5724?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Diagnostic Tests and Related Services (OTHER 5724) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5724?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $915–$2,251 (25th–75th percentile) across 600 hospitals · 756 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5724 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL OutpatientFacility | Emblem | Emblem Hip Hmo Comm - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $0.84 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $0.84 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $0.84 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $0.86 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $0.86 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $0.88 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $1.51 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $1.51 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $1.51 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $1.68 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $2.47 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $2.60 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $2.82 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $2.91 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $3.47 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $3.65 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $4.34 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $4.34 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $4.34 | $4.34 | $3.08 | 2026-05-08 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Molina Marketplace | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL 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 ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Ghi/Hip Ppo Comm - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Tricare | Tricare For Life | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Tricare | Tricare For Life | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 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 ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Blue Cross | Uc Ship Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Moda | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Moda | Medicare 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 ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Moda | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | BCBS | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Nh Healthy Families | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| University Of Washington Medical Center OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Caresource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Optum Health | Transplant Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare 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 ↗ |
| 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 ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Essentials | $67.67 | — | — | 2026-05-17 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Wellcare | Meridian Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Blue Shield | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Alameda Alliance | Medi-Cal/Ihss Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Blue Advantage | $73.75 | — | — | 2026-05-17 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | 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 ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Unitedhealthcare | All Payer Appendix All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Silver | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Generations Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Traditional | $85.02 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Bcbs | Ppo | $85.02 | — | — | 2026-05-17 | 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 ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Peach State Health Plan | Exchange | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | BCBS | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Essential Plan 3-4 | — | — | — | 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 SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Molina | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Encore | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $93.79 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $93.79 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $93.79 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $93.79 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo Pos | Commercial | $93.79 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Traditional/Qhp | Commercial | $93.79 | — | — | 2026-05-14 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $93.79 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Hmo | Commercial | $93.79 | — | — | 2026-05-23 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $93.79 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $93.79 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| INGALLS MEMORIAL HOSPITAL OutpatientFacility | Cigna | One Health Hmo | — | — | — | 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 ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Contra Costa Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Unitedhealthcare | Individual Exchange Payer Appendix Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN HOSPITAL OutpatientFacility | Zelis | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Hip/Ghi Hmo Comm - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Sentara Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Sentara Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Nh Healthy Families | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Humana | Behavioral Health Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Humana | Behavioral Health Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Wellsense | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Essence | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Meritain | Augusta Health Employee | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Meritain | Augusta Health Employee | — | — | — | 2026-04-01 | MRF ↗ |
| CLAY COUNTY MEDICAL CORPORATION OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Home State Health Plan | Ambetter Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Home State Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Triwest Healthcare Alliance | Government | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Home State Health Plan | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Options PPO | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Healthlink | PPO | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Coventry Health Care | First Health All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Med-Pay | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Provider Partners Health Plan | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Healthlink | Employee | — | — | — | 2025-07-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.