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 $907–$1,881 (25th–75th percentile) across 641 hospitals · 729 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Healthchoice Ppo | — | $0.36 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Emblem | Emblem Hip Hmo Comm - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook 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 ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Meridian | 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 ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK OutpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Buckeye | Medicare Managed Care Plan | $13.51 | — | — | 2025-01-01 | MRF ↗ |
| RIDDLE MEMORIAL 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 ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | $15.00 | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 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 ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $21.68 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $21.68 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 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 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 | 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 - FOUNTAIN VALLEY 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 ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | BCBS | HMO | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | BCBS | HMO | — | — | — | 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 ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Moda | Medicare Managed Care Plan | — | — | — | 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 ↗ |
| 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 ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $35.93 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $36.14 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $36.14 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Caresource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $38.99 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | 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 ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $41.30 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $41.30 | $103.25 | $10.33 | 2026-07-31 | 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 ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | 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 ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $51.63 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $54.52 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $54.72 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| ADVENTHEALTH DELAND OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS OutpatientFacility | Meridian | Medicaid 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 ↗ |
| ADVENTHEALTH WATERMAN OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $59.89 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $60.09 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $60.92 | $103.25 | $10.33 | 2026-07-31 | 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 ↗ |
| ADVENTHEALTH SEBRING OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $67.11 | $103.25 | $10.33 | 2026-07-31 | 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 ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $69.18 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Blue Shield | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Alameda Alliance | Medi-Cal/Ihss Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $72.28 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $72.28 | $103.25 | $10.33 | 2026-07-31 | 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 ↗ |
| UCSF MEDICAL CENTER 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 ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $75.37 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | $80.00 | — | — | 2025-01-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Wellsense Health Plan | 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 ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $272.00 | $136.00 | 2026-05-13 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Exchange Plan Silver | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $82.60 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $84.67 | $103.25 | $10.33 | 2026-07-31 | MRF ↗ |
| Alliancehealth Seminole OutpatientFacility | Generations Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Generations Healthcare | Medicare 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 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 ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Peach State Health Plan | Exchange | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| CHEROKEE MEDICAL CENTER OutpatientFacility | Aetna | Sc Preferred Other Commercial Plan | $87.76 | — | — | 2025-07-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 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 ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA 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 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Bcbs Ppo & Traditional | Commercial | $93.79 | — | — | 2026-07-15 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Hmo | Commercial | $93.79 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Bcbs Ppo & Traditional | Commercial | $93.79 | — | — | 2026-05-09 | 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 ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Medicaid Ks Uhc | All Plans | $96.24 | — | — | 2025-05-01 | 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 ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Presbyterian Healthcare Transplant OutpatientFacility | Zelis | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Trmc Of Orangeburg & Calhoun OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park 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 ↗ |
| Endeavor Health Glenbrook 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 ↗ |
| Skokie Hospital OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare 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 ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Aetna Better Health Mycare Oh Medicare Advantage | All Plans | $126.73 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Aetna Better Health Mycare Oh Medicare Advantage | All Plans | $126.73 | — | — | 2024-07-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Medicaid HMO | — | — | — | 2026-04-01 | 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 ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 | Aetna | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Triwest Healthcare Alliance | Government | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 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 | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | Medica | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | VACCN Government | — | — | — | 2025-07-01 | MRF ↗ |
| LAKE REGIONAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 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.