64550 — Tens Apply/educate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TENS APPLY/EDUCATE (CPT 64550) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64550?code_type=CPT
MLA (9th ed.)
“TENS APPLY/EDUCATE (CPT 64550) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64550?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TENS APPLY/EDUCATE (CPT 64550) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64550?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46–$169 (25th–75th percentile) across 665 hospitals · 1,035 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64550 — 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.50 | $47.25 | $28.35 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.50 | $47.25 | $28.35 | 2025-08-11 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $2.16 | $16.00 | $12.00 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $3.32 | $16.00 | $12.00 | 2026-01-16 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $3.66 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $3.90 | $24.39 | $9.76 | 2026-02-04 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $4.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Both | AETNA AMERICAN AXLE | 2409_BOLE AETNA AMERICAN AXLE 20200701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | AETNA AMERICAN AXLE | 2409_BOLE AETNA AMERICAN AXLE 20200701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | UHC MCD | 3796_BOMC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Both | AETNA MICHIGAN PREFERRED | 2410_BOLE AETNA MICHIGAN PREFERRED 20200701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MEDICAID HMO | 3791_BOMC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MERIDIAN MEDICAID | 3792_BOMC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | AETNA MICHIGAN PREFERRED | 2679_BOMC AETNA MICHIGAN PREFERRED 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MI CHILD | 3793_BOMC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | MOLINA MEDICAID | 3794_BOMC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA AMERICAN AXLE | 2009_BOMC AETNA AMERICAN AXLE 20200115 | — | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | COVENTRY CARES | 3790_BOMC MEDICAID REPLACEMENT COVENTRY CARES OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA MEDICAID | 3788_BOMC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | PRIORITY MCD | 3795_BOMC MEDICAID REPLACEMENT PRIORITY HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Outpatient | BLUE CAID | 3789_BOMC MEDICAID REPLACEMENT BLUE CAID COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $4.54 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | AETNA MICHIGAN PREFERRED | 2410_BOLE AETNA MICHIGAN PREFERRED 20200701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $4.54 | — | — | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $6.00 | $27.00 | $27.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $6.00 | $27.00 | $27.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $6.00 | $27.00 | $27.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $6.00 | $27.00 | $27.00 | 2025-07-03 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6.11 | — | — | 2025-09-05 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $6.20 | $62.00 | $62.00 | 2026-04-15 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Humana | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Medicare | Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Humana | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Kansas Health | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Medicare | Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Kansas Health | Managed Medicare | $6.49 | $20.27 | $8.11 | 2026-02-03 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $6.50 | $65.00 | $65.00 | 2026-04-15 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6.54 | — | — | 2025-09-05 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $7.17 | $18.42 | $18.42 | 2026-03-16 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $7.17 | $18.42 | $18.42 | 2026-03-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7.20 | $16.00 | $12.00 | 2026-01-16 | MRF ↗ |
| SIMPSON GENERAL HOSPITAL CAH Outpatient | UHC MCAID | UHC MCAID | $7.27 | $85.00 | $59.50 | 2025-04-30 | MRF ↗ |
| SIMPSON GENERAL HOSPITAL CAH Outpatient | MAGNOLIA HP MCAID - ALL PLANS | MAGNOLIA HP MCAID - ALL PLANS | $7.65 | $85.00 | $59.50 | 2025-04-30 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $7.98 | $19.00 | $19.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA MCR ADV | MAGNOLIA MCR ADV | $7.98 | $19.00 | $19.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7.98 | $19.00 | $19.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | MAGNOLIA COMM/EXCH - ALL OTHER PLANS | MAGNOLIA COMM/EXCH - ALL OTHER PLANS | $7.98 | $19.00 | $19.00 | 2026-02-10 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $7.98 | $19.00 | $19.00 | 2026-02-10 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $8.17 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $8.17 | — | — | 2025-12-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Exchanges - EPO - Paraprofessional | $8.61 | $56.29 | $36.81 | 2026-04-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | $8.70 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $8.74 | — | — | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $8.74 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $8.74 | — | — | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $8.74 | — | — | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $8.74 | — | — | 2025-12-31 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $8.94 | — | — | 2026-01-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | HARP | $8.98 | — | — | 2025-09-05 | 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.