59409 — Obstetrical Care
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OBSTETRICAL CARE (HCPCS 59409) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/59409?code_type=HCPCS
MLA (9th ed.)
“OBSTETRICAL CARE (HCPCS 59409) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/59409?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“OBSTETRICAL CARE (HCPCS 59409) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/59409?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,900–$4,363 (25th–75th percentile) across 2,422 hospitals · 7,753 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 59409 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,900
$3,185 typical
$4,363
The middle 50% of negotiated facility rates for this procedure, measured across 2,422 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,185 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $722 × 1.22 commercial. | $881 |
| Likely subtotal | $4,065 |
Surgical episode (typical)
~$4,065
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$7,850
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $6,696.88 | $3,348.44 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $6,696.88 | $3,348.44 | 2024-12-15 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $28,173.62 | $18,312.85 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $21,672.00 | $14,086.80 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $5,224.00 | $4,283.68 | 2025-11-26 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $5.76 | $2,605.00 | $1,953.75 | 2025-03-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Both | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $7.04 | $1,625.00 | $1,218.75 | 2026-03-26 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $8.26 | $772.00 | $540.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $8.26 | $772.00 | $540.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $8.26 | $772.00 | $540.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $8.26 | $772.00 | $540.40 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $8.26 | $772.00 | $540.40 | 2025-01-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.54 | $477.00 | — | 2026-03-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $1,967.00 | $1,180.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $1,967.00 | $1,180.20 | 2026-02-12 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.60 | $5,891.00 | $3,104.30 | 2024-12-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM [2024] | HB XR ANTHEM EXCHANGE KY | $11.31 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL AURORA OutpatientFacility | MEDICAID [20240] | HB AURA ARKANSAS MEDICAID | $12.80 | $289.00 | $187.85 | 2026-03-13 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $12.80 | $3,064.00 | $674.08 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $12.80 | $3,064.00 | $674.08 | 2026-03-19 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $12.80 | $7,568.00 | $4,919.20 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $12.80 | $3,064.00 | $674.08 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $12.80 | $241.00 | $156.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $12.80 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $12.80 | $3,064.00 | $674.08 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $12.80 | $7,568.00 | $4,919.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $12.80 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $12.80 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $12.80 | $305.00 | $198.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $12.80 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | UHC MCR ADV | UHC MCR ADV | $12.92 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $13.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $13.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $13.05 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $13.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $13.05 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $13.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | AETNA MEDICARE [1001] | HB XR AETNA MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ESSENCE MEDICARE [3010] | HB XR 102% MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | CARESOURCE MEDICARE [3080] | HB XR 102% MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA MEDICARE [1003] | HB XR HUMANA MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY HEALTH DUAL [2197] | HB XR UHC MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MOLINA MEDICARE [2184] | HB XR MOLINA MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM MEDICARE [1002] | HB XR ANTHEM MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient | TRICARE [1045006] | TRICARE EAST [104500601] | $13.24 | $25,883.80 | $11,647.71 | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | AETNA BETTER HEALTH DUAL [2182] | HB XR AETNA BETTER HEALTH DUAL (MYCARE) | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA HEALTH CARE [2014] | HB XR HUMANA MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC MEDICARE [1004] | HB XR UHC MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UNITED HEALTHCARE [2069] | HB XR UHC MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MEDICAL MUTUAL MEDICARE [1006] | HB XR MEDICAL MUTUAL MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | AETNA [2000] | HB XR AETNA MEDICARE ADVANTAGE | $13.24 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | COMMUNICARE MEDICARE [2189] | HB XR COMMUNICARE MA 103% | $13.64 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | PERENNIAL [4200] | HB XR PERENNIAL MA PD 105% | $13.90 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | TCH EMPLOYEE ANTHEM [3006] | HB XR ANTHEM NON-MEDICARE | $14.13 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM [2024] | HB XR ANTHEM NON-MEDICARE | $14.13 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.50 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.50 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.50 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $14.74 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MOLINA MCR ADV | MOLINA MCR ADV | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | UHC VA CCN | UHC VA CCN | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.93 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.93 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.93 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $15.96 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $15.96 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $16.25 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $16.25 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $16.25 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $16.25 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $16.25 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $16.28 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM [2024] | HB XR ANTHEM PATHWAY X & PATHWAY HMO | $16.55 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $16.64 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.64 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.64 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.64 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $16.64 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $16.64 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $16.64 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $18.14 | $279.00 | $181.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.14 | $279.00 | $181.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $18.14 | $279.00 | $181.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.14 | $279.00 | $181.35 | 2026-03-12 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $18.45 | $6,646.92 | $3,988.15 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $18.45 | $6,646.92 | $3,988.15 | 2025-08-11 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AETNA MCR ADV | AETNA MCR ADV | $18.62 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | COVENTRY MEDICARE | COVENTRY MEDICARE | $18.62 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | OTHER EXCHANGE PLAN [9992] | HB XR CARESOURCE EXCHANGE | $19.86 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | AETNA [2000] | HB XR AETNA GATEKEEPER AND NON-GATEKEEPER | $21.18 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ALLIED BENEFITS [2163] | HB XR AETNA GATEKEEPER AND NON-GATEKEEPER | $21.18 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | FIRST HEALTH [2041] | HB XR AETNA GATEKEEPER AND NON-GATEKEEPER | $21.18 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MERITAIN HEALTH [2224] | HB XR AETNA GATEKEEPER AND NON-GATEKEEPER | $21.18 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $23.53 | $1,916.00 | $364.04 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $25.88 | $1,728.00 | $1,123.20 | 2026-05-07 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | CUSTOM DESIGN BENEFITS - TRUE COST [3004] | HB XR CUSTOM DESIGN BENEFITS TRUE COST | $27.14 | $23,655.32 | $14,477.32 | 2025-12-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $29.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $29.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $29.05 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $29.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $29.05 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $29.05 | $315.00 | $204.75 | 2026-03-13 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $29.92 | $1,263.00 | $757.80 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $29.92 | $1,263.00 | $757.80 | 2026-02-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MIDLANDS NEW PRODUCT | MIDLANDS NEW PRODUCT | $31.16 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $31.66 | $3,043.80 | $3,043.80 | 2026-04-24 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $32.27 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | COVENTRY COMMERCIAL HMO | COVENTRY COMMERCIAL HMO | $32.30 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $33.45 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $33.45 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $33.45 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $33.94 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $35.00 | $3,416.00 | $688.74 | 2026-02-25 | MRF ↗ |
| PIH HEALTH DOWNEY HOSPITAL Outpatient | Health Net Medi-Cal Managed Ca | Hmo | $35.00 | $8,900.00 | $4,996.94 | 2026-05-15 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $35.00 | $3,416.00 | $688.74 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $35.00 | $3,416.00 | $688.74 | 2026-02-25 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $35.21 | $1,656.00 | $828.00 | 2026-04-15 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $35.56 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $35.56 | $21,132.22 | $8,452.89 | 2026-03-31 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $2,356.00 | $1,767.00 | 2026-02-25 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $36.75 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $36.75 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $36.75 | $245.00 | $159.25 | 2026-03-12 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $38.00 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $38.40 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $38.40 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $38.40 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $38.40 | $256.00 | $166.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $38.40 | $256.00 | $166.40 | 2026-03-12 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $40.00 | $462.00 | $462.00 | 2026-05-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $41.85 | $279.00 | $181.35 | 2026-03-12 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $47.06 | $3,656.00 | $3,656.00 | 2026-02-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $47.87 | $263.00 | $170.95 | 2026-03-13 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,864.00 | $1,118.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,864.00 | $1,118.40 | 2026-05-21 | MRF ↗ |
| FALLS COMMUNITY HOSPITAL AND CLINIC Outpatient | Blue Cross | PPO | $50.00 | $3,904.22 | $3,123.38 | 2026-02-03 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $1,691.00 | $1,691.00 | 2026-02-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Managed Medicaid | $50.26 | $7,441.00 | $4,464.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | CHIP | $50.26 | $7,441.00 | $4,464.60 | 2026-03-06 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $4,361.50 | $3,140.28 | 2026-05-04 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $4,784.00 | $908.96 | 2026-02-27 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $4,361.50 | $3,140.28 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $4,361.50 | $3,140.28 | 2026-05-04 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $2,780.47 | $1,807.31 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, City of LA, Vivity | — | $2,780.47 | $1,807.31 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE CONTRACTED [320213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $53.50 | $214.00 | $139.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE [20213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $53.50 | $214.00 | $139.10 | 2026-03-13 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $10,237.00 | $7,473.01 | 2026-05-09 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $58.20 | $223.00 | $144.95 | 2026-03-12 | MRF ↗ |
| LOST RIVERS MEDICAL CENTER Outpatient | IHCN BRIGHTPATH-ALL OTHER PLANS | IHCN BRIGHTPATH-ALL OTHER PLANS | $59.00 | $1,591.00 | $1,272.80 | 2026-05-07 | 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.