5731 — Level 1 Minor Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 1 Minor Procedures (OTHER 5731) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5731?code_type=OTHER
MLA (9th ed.)
“Level 1 Minor Procedures (OTHER 5731) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5731?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 1 Minor Procedures (OTHER 5731) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5731?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29–$110 (25th–75th percentile) across 659 hospitals · 587 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5731 — 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 - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $2.05 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $2.05 | $9.75 | $0.98 | 2026-07-31 | 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 ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Coordinated Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Coordinated Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Seattle Cancer Care Alliance OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Imagine Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Imagine Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Healthspring | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Healthspring | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $3.13 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $3.39 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $3.41 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $3.41 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | United Health Care | All Plans | $3.50 | — | — | 2025-08-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | United Healthcare | Commercial - Hmo/Ppo | $3.64 | — | — | 2025-01-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $3.68 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For Life Dual | All Plans | $3.76 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For Life Complete Care | All Plans | $3.76 | — | — | 2025-08-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare 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 ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $3.90 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $3.90 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | BCBS | Anthem PPO | — | — | — | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | BCBS | Anthem PPO | — | — | — | 2026-09-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTON COUNTY HOSPITAL OutpatientFacility | Ambetter Sunflower Health Plan | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Upmc | For You 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 ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $4.74 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $4.74 | — | — | 2026-03-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $4.88 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus BCBS Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care | $5.05 | — | — | 2026-07-18 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Univera Healthcare | Special Programs Government | $5.05 | — | — | 2026-07-18 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $5.15 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $5.17 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 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 ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem Medi-Cal 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 ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Mclaren | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN INYO HOSPITAL OutpatientFacility | Blue Cross | Anthem | — | — | — | 2024-10-01 | MRF ↗ |
| NORTHERN INYO HOSPITAL OutpatientFacility | Blue Cross | Anthem | — | — | — | 2024-10-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Commonwealth Care Alliance | Managed Medicare Plan | $5.40 | — | — | 2025-01-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $5.50 | — | — | 2026-03-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | CIGNA | New Business Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | CIGNA | New Business Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 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 ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $5.66 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $5.67 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | CIGNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | CIGNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $5.75 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Ghc Eau Claire | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Chorus | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Gold Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Unitedhealthcare | Non-Ppo Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Medica | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS ELK OutpatientFacility | Upmc For You | All Plans | $6.05 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Geisinger Family Medicaid Hmo | All Plans | $6.05 | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For You | All Plans | $6.05 | — | — | 2025-08-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Health Partners | All Plans | $6.05 | — | — | 2025-08-01 | MRF ↗ |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $6.13 | — | — | 2025-07-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $6.34 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Martins Point | Martins Point Generations Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| RUMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Unitedhealthcare Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $6.53 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmsa | Hmo/Ppo | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Ohana Medicare Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Ohana Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | United Healthcare Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmaa | Ppo | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Alohacare Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | United Healthcare Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Tricare | Tricare West Region | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Alohacare Quest | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| KAU HOSPITAL OutpatientFacility | Hmsa Advantage | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $6.83 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $6.83 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $7.12 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | United Healthcare | Commercial - Hmo/Ppo | $7.28 | — | — | 2025-01-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Michigan | Blue Care Network Medicare Advantage Plus Blue Ppo | $7.36 | — | — | 2025-07-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem - KY Medicaid Managed Care Plan | $7.41 | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Humana | Medicaid Managed Care Plan | $7.41 | — | — | 2025-07-01 | 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 | — | — | — | 2026-10-12 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JUPITER MEDICAL CENTER OutpatientFacility | Medicare | All Plans | — | — | — | 2025-10-01 | MRF ↗ |
| JUPITER MEDICAL CENTER OutpatientFacility | Humana Medicare Advantage | All Plans | — | — | — | 2025-10-01 | MRF ↗ |
| JUPITER MEDICAL CENTER OutpatientFacility | United Healthcare Ppo | Ppo | — | — | — | 2025-10-01 | MRF ↗ |
| EAST TENNESSEE CHILDRENS HOSPITAL OutpatientFacility | BCBS | TennCare BlueCare Medicaid Managed Care Plan | $7.67 | — | — | 2024-10-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid Managed Care Plan | $7.71 | — | — | 2025-07-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $7.80 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | MDwise | HHW Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Mdwise | Hhw Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | MDwise | HHW Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Anthem | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $8.00 | $9.75 | $0.98 | 2026-07-31 | MRF ↗ |
| HARBORVIEW MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HARBORVIEW MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Cigna | Oap Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Cigna | Oap Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH SEBRING OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | United Healthcare | Medicare Managed Care Plan | $8.40 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $8.49 | — | — | 2025-07-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Geisinger Health Plan | All Plans | $8.51 | — | — | 2025-08-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Aetna | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Capstar | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Capstar | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | AETNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | AETNA | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Hhw Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Mdwise | Hip Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Hip Medicaid Managed Care Plan | — | — | — | 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.