90471 — Administration Of Vaccine
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Administration of vaccine (CPT 90471) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90471?code_type=CPT
MLA (9th ed.)
“Administration of vaccine (CPT 90471) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90471?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Administration of vaccine (CPT 90471) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90471?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34–$98 (25th–75th percentile) across 3,150 hospitals · 11,066 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90471 — 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
$34
$66 typical
$98
The middle 50% of negotiated facility rates for this procedure, measured across 3,150 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. | $66 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $22 × 1.22 commercial. | $27 |
| Likely subtotal | $93 |
Surgical episode (typical)
~$93
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)
~$3,878
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 |
|---|---|---|---|---|---|---|---|
| CUBA MEMORIAL HOSPITAL, INC Both | Cigna | Default | — | $41.65 | $41.65 | 2026-04-16 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | — | $77.00 | $46.20 | 2025-12-31 | MRF ↗ |
| PIKE COUNTY MEMORIAL HOSPITAL Both | None | — | — | $0.01 | $0.01 | 2026-05-05 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | AETNA | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC Both | Security Health Plan | Default | — | $41.65 | $41.65 | 2026-04-16 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $167.00 | $116.90 | 2025-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Bankers Fidelity Life Insuranc | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $64.00 | $48.00 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.24 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.26 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL BothFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.26 | $279.00 | $209.25 | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.26 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $0.26 | $251.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.26 | $279.00 | $209.25 | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.26 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $0.26 | $251.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.26 | $279.00 | $209.25 | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $0.27 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $0.27 | $251.00 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $0.31 | $56.00 | $16.24 | 2025-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.31 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $0.31 | $56.00 | $16.24 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $0.31 | $56.00 | $30.24 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $0.31 | $56.00 | $16.24 | 2025-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.32 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.32 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.32 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.34 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.40 | $75.00 | $30.00 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.40 | $75.00 | $30.00 | 2026-05-13 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.44 | $12.00 | $9.00 | 2025-03-07 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.45 | $207.00 | $103.50 | 2026-04-02 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $0.46 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $0.46 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH DAP | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH DAP | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CARE FIRST | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | FULLY | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | FULLY | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CARE FIRST | ALL PRODUCTS | $0.47 | $251.00 | — | 2026-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.49 | $46.75 | $46.75 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.51 | $49.10 | $49.10 | 2026-04-24 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $0.51 | $251.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $0.51 | $251.00 | — | 2026-01-01 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC | All Products | $0.54 | $103.00 | $61.80 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC | All Products | $0.54 | $103.00 | $61.80 | 2026-02-12 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $0.55 | — | — | 2026-04-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $0.59 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Health Plan | Commercial | $0.59 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $0.61 | — | — | 2026-04-14 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.66 | $65.00 | $42.25 | 2026-03-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $0.66 | — | — | 2026-04-14 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | UNITED HEALTHCARE [40032] | UVAMC - United (Options PPO) | — | $394.00 | $236.40 | 2026-03-24 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $0.70 | $36.00 | $21.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $0.70 | — | — | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $0.70 | $36.00 | $21.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Health Plan | Commercial | $0.72 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.72 | $118.76 | $71.26 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.72 | $118.76 | $71.26 | 2025-08-11 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | UnitedHealthcare | Commercial | $0.74 | $190.00 | — | 2026-04-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $127.74 | $83.03 | 2025-11-26 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $0.79 | — | — | 2026-04-14 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.80 | $88.00 | $88.00 | 2026-02-13 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | CHIP | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $0.82 | $42.00 | $16.80 | 2026-05-22 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | CHIP | $0.82 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $0.83 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $0.83 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | CHIP | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | CHIP | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR PLUS | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR PLUS | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR | $0.86 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.86 | $138.00 | $37.26 | 2024-12-30 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $0.87 | $70.00 | $42.00 | 2026-03-06 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $0.87 | $70.00 | $42.00 | 2026-03-06 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $0.87 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.88 | $177.29 | $177.29 | 2026-03-18 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | BCBS TX STAR | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | BCBS TX STAR | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP STAR KIDS | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP STAR KIDS | $0.89 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $0.90 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR PLUS | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR PLUS | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | CHIP | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR KIDS | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | CHIP | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | STAR KIDS | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | STAR | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | CHIP | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR KIDS | $0.91 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.93 | $91.00 | $59.15 | 2026-03-14 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $0.93 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $0.93 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $0.94 | $2.47 | $1.85 | 2026-01-01 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $0.94 | $158.00 | $42.66 | 2026-03-27 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $0.95 | $92.00 | $36.80 | 2026-05-18 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.96 | $24.00 | $24.00 | 2026-05-15 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $0.98 | $75.00 | $30.00 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $0.98 | $75.00 | $30.00 | 2026-05-22 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $1.00 | $6.00 | $4.00 | 2026-05-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $1.00 | $2.00 | $2.00 | 2025-07-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | HMO | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $396.14 | $257.49 | 2025-11-26 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Aetna | Commercial | $1.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Medicare Advantage | $1.00 | $3.00 | $2.00 | 2026-04-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Anthem | Medicare Advantage | $1.00 | $4.00 | $3.00 | 2025-10-01 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | Commercial | $1.00 | $2.00 | $2.00 | 2026-04-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $1.00 | $6.00 | $4.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $1.00 | $6.00 | $4.00 | 2026-05-15 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $1.00 | $2.00 | $2.00 | 2025-07-09 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $396.14 | $257.49 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $1.00 | $3.00 | $2.00 | 2026-05-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $85.00 | $69.70 | 2025-11-26 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Amerigroup | Medicaid/Peachcare | $1.00 | $142.00 | $92.30 | 2025-01-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $1.00 | $4.00 | $3.00 | 2025-10-01 | 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.