905 — Intensive Outpatient Services (iop)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTENSIVE OUTPATIENT SERVICES (IOP) (RC 905) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/905?code_type=RC
MLA (9th ed.)
“INTENSIVE OUTPATIENT SERVICES (IOP) (RC 905) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/905?code_type=RC. Accessed .
Chicago (notes-bibliography)
“INTENSIVE OUTPATIENT SERVICES (IOP) (RC 905) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/905?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $210–$294 (25th–75th percentile) across 342 hospitals · 1,016 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 905 — 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.03 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.04 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.05 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.06 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.09 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.17 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.19 | — | — | 2024-10-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | VACCN | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.27 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.35 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.36 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.47 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.50 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.52 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.62 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.63 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.72 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.76 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.77 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.94 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $0.98 | — | — | 2024-10-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE INSURANCE COMPANY/EVERCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA MEDICARE HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | VETERANS ADMINISTRATION | VETERANS ADMINISTRATION VACCN | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA MEDICARE HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CARE IMPROVEMENT PLUS | $1.01 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.10 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.16 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.17 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.21 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.26 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.28 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.34 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.38 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.40 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.41 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.48 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.49 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.50 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.55 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.57 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.63 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.65 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.68 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.72 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.76 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.81 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.85 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.86 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.87 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.95 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $1.97 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.01 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.04 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.09 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.12 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.17 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.24 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.27 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.30 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.34 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.44 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.46 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.51 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.65 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $2.81 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.19 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.20 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.23 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.33 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.59 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.73 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.80 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $3.81 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.03 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.15 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.18 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.57 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.69 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $4.97 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.05 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.34 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.36 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.43 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.52 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.67 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.71 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.73 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.83 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.90 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.95 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.96 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $5.98 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $6.35 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $6.38 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $6.42 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $6.50 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $6.67 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.22 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.41 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.51 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.58 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.62 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $7.95 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $8.23 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $8.52 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $9.06 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $9.57 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $9.66 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.12 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.31 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.36 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.40 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.55 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $10.62 | — | — | 2024-10-01 | MRF ↗ |
| NORTH STAR HOSPITAL Outpatient | MEDICAID SECONDARY | MEDICAID SECONDARY | $10.67 | $1,200.00 | $1,200.00 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $11.17 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $11.30 | — | — | 2024-10-01 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | $11.33 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $11.35 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $12.19 | — | — | 2024-10-01 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Outpatient | Oklahoma Complete Health | 4710 1 | $12.41 | $305.00 | — | 2026-08-17 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Outpatient | Humana Healthy Horizons | 4708 1 | $12.41 | $305.00 | — | 2026-08-17 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Outpatient | Aetna Better Health | 4709 1 | $12.41 | $305.00 | — | 2026-08-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $12.66 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $12.97 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $13.71 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $14.29 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $14.46 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $14.76 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $14.79 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $14.87 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $15.22 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $15.53 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $17.29 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $17.35 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $17.45 | — | — | 2024-10-01 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | $17.67 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | $17.74 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $17.75 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $18.13 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $18.18 | — | — | 2024-10-01 | MRF ↗ |
| MESA SPRINGS Outpatient | Rightcare Scott And White | 4718 | $18.44 | $305.00 | — | 2026-08-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $18.69 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $18.82 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $19.17 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $19.52 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $20.67 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $21.05 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $21.20 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $21.23 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $21.29 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $21.99 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $22.14 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $22.44 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $22.75 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $22.83 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $22.90 | — | — | 2024-10-01 | MRF ↗ |
| CANYON RIDGE HOSPITAL Outpatient | KAISER SELF FUNDED | KAISER SELF FUNDED | $23.00 | $720.00 | $720.00 | 2026-04-29 | MRF ↗ |
| WESTPARK SPRINGS LLC Outpatient | Driscoll Health Plan | 4717 2 | $23.05 | $305.00 | — | 2026-08-17 | MRF ↗ |
| WESTPARK SPRINGS LLC Outpatient | Driscoll Health Plan Star/Star Plus | 4733 2 | $23.05 | $305.00 | — | 2026-08-17 | MRF ↗ |
| WESTPARK SPRINGS LLC Outpatient | Driscoll Childrens Healthplan Star Kids | 4750 2 | $23.05 | $305.00 | — | 2026-08-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $23.39 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $23.59 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $24.15 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $24.33 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $24.77 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $26.59 | — | — | 2024-10-01 | MRF ↗ |
| Copper Springs Outpatient | Banner University Family Care | 4714 2 | $26.63 | $305.00 | — | 2026-08-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Managed Health Network | MCR | $26.96 | — | — | 2024-10-01 | 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.