90670 — Pcv13 Vaccine IM
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PCV13 VACCINE IM (CPT 90670) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90670?code_type=CPT
MLA (9th ed.)
“PCV13 VACCINE IM (CPT 90670) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90670?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PCV13 VACCINE IM (CPT 90670) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90670?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $230–$528 (25th–75th percentile) across 2,160 hospitals · 5,965 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90670 — 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 |
|---|---|---|---|---|---|---|---|
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS PLATINUM BLUE [1600803] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $305.00 | $259.25 | 2025-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | None | — | — | $0.01 | $0.01 | 2026-03-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC Community Plan TX | Medicaid Replacement | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $645.44 | $354.99 | 2025-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | SUNFLOWER STATE HEALTH PLAN | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS OUT OF STATE MEDICARE [1600802] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW DISTINCT [1602507] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE ADVANTAGE [1604401] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | PRIME WEST MEDICARE [16030] | PRIME WEST MSHO [1603001] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | — | $1,605.52 | $287.84 | 2026-04-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MedicareComplete | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of Texas | HMO | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Superior Health Plan MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,075.74 | $591.66 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $665.64 | $366.10 | 2025-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA ADVANTAGE SOLUTION [1602401] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $305.00 | $259.25 | 2025-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS BLUE PLUS SECURE BLUE [1600804] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS MN MEDICARE ADVANTAGE [1600801] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS FREEDOM [1601901] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | AETNA MEDICARE [16004] | ALLINA HEALTH AETNA MEDICARE ADV [1600402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,075.74 | $591.66 | 2025-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA PRIME SOLUTION [1602403] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA COMPLETE SOLUTION [1602404] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW COMM NETWORK [1602505] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $645.44 | $354.99 | 2025-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $940.15 | $470.07 | 2024-12-15 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of TX MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| PIKE COUNTY MEMORIAL HOSPITAL Both | None | — | — | $0.01 | $0.01 | 2026-05-05 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | AARP MEDICARE [16001] | AARP MEDICARE COMPLETE [1600101] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $940.15 | $470.07 | 2024-12-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | — | $1,605.52 | $287.84 | 2026-04-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK E-CHILDREN | $0.04 | $421.49 | $222.55 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK E-CHILDREN | $0.04 | $421.49 | $222.55 | 2026-01-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $3,342.62 | $2,172.70 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | $0.13 | $2,062.44 | $1,546.83 | 2026-04-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.21 | $19.82 | $19.82 | 2026-04-24 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $0.28 | $1.00 | — | 2025-07-23 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $3,342.62 | $2,172.70 | 2025-11-26 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $0.34 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Aetna | Medicare | $0.35 | $1.00 | — | 2025-07-23 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH OutpatientFacility | Sanford Health Plan | Medicare Advantage | $0.49 | $1.00 | $0.90 | 2026-01-09 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH OutpatientFacility | Sanford Health Plan | Medicare Advantage | $0.49 | $1.00 | $0.90 | 2026-01-09 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Blue Cross | Blue Cross Medicare | $0.50 | $0.50 | $0.30 | 2026-05-14 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.51 | $393.00 | $294.75 | 2026-03-26 | MRF ↗ |
| MULTICARE COVINGTON MEDICAL CENTER OutpatientFacility | Community Health Plan of Washington | Cascade Care | $0.65 | $2.67 | $1.07 | 2025-07-26 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | Community Health Plan of Washington | Cascade Care | $0.65 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $3,342.62 | $2,172.70 | 2025-11-26 | MRF ↗ |
| MULTICARE GOOD SAMARITAN HOSPITAL OutpatientFacility | Community Health Plan of Washington | Cascade Care | $0.73 | $2.67 | $1.07 | 2025-07-29 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SUPERIOR EPO/HMO - ALL PLANS | SUPERIOR EPO/HMO - ALL PLANS | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | PPHP MCR ADV - ALL PLANS | PPHP MCR ADV - ALL PLANS | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | WELLMED MCR ADV - ALL PLANS | WELLMED MCR ADV - ALL PLANS | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | SWHP MCR ADV | SWHP MCR ADV | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE COMM - ALL OTHER PLANS | CHOICECARE COMM - ALL OTHER PLANS | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $0.74 | $2.00 | $1.30 | 2026-05-07 | MRF ↗ |
| TACOMA GENERAL ALLENMORE HOSPITAL OutpatientFacility | Community Health Plan of Washington | Cascade Care | $0.84 | $2.67 | $1.07 | 2025-08-26 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | HMO | $0.84 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | PPO | $0.84 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH InpatientFacility | United Healthcare | All Commercial Plans | $0.85 | $1.00 | $0.85 | 2026-01-09 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $1.00 | $0.85 | 2026-01-09 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $1.00 | $0.85 | 2026-01-09 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH InpatientFacility | United Healthcare | All Commercial Plans | $0.85 | $1.00 | $0.85 | 2026-01-09 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Aetna | APCN/AFA | $0.86 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | HEALTHSCOPE | All Products | $0.88 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Web TPA | All Products | $0.88 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Cofinity | All Products | $0.88 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | PREFERRED ONE | All Products | $0.88 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| MULTICARE AUBURN MEDICAL CENTER OutpatientFacility | Community Health Plan of Washington | Cascade Care | $0.89 | $2.67 | $1.07 | 2025-07-26 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | Cigna | All | $0.89 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | Aetna | All | $0.90 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | Kaiser | Permanente Claims Adm | $0.91 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | First Choice | All | $0.91 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | United Healthcare | All | $0.91 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC LIBERTY MUTUAL | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC TRAVELERS | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC TRISTAR | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC AMERISURE | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC WALMART | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| ODESSA MEMORIAL HEALTHCARE CENTER BothFacility | Asuris | Northwest Health | $0.93 | $1.00 | $0.90 | 2026-03-29 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC HARTFORD | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC GUARD INSURANCE COMPANY | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC GENEX CARE FOR OHIO | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC FEDERATED | All Products | $0.93 | $1.75 | $1.14 | 2025-01-01 | 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.