90677 — Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe
Cite this view
HANK Price Transparency. (n.d.). PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (CPT 90677) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90677?code_type=CPT
“PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (CPT 90677) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90677?code_type=CPT. Accessed .
“PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE (CPT 90677) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90677?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $298–$731 (25th–75th percentile) across 2,415 hospitals · 7,451 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90677 — 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 |
|---|---|---|---|---|---|---|---|
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of Texas | HMO | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MedicareComplete | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC Community Plan TX | Medicaid Replacement | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | AETNA MEDICARE [16004] | ALLINA HEALTH AETNA MEDICARE ADV [1600402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | — | $0.01 | $0.01 | 2026-05-17 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | MMC AETNA BETTER HEALTH | — | $846.03 | $222.23 | 2026-04-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Superior Health Plan MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS FREEDOM [1601901] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | — | $510.03 | $152.89 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | — | $510.03 | $152.89 | 2026-04-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of TX MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-06-04 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | None | — | — | $0.01 | $0.01 | 2026-03-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid 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 | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | INTEGRITY/Duals | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | — | $335.00 | $234.49 | 2026-05-22 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $744.57 | $409.51 | 2025-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Medicaid | — | $335.00 | $234.49 | 2026-05-22 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | INTEGRITY/Duals | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $0.01 | $0.01 | 2026-05-26 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,081.49 | $540.74 | 2024-12-15 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $392.00 | $392.00 | 2025-05-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity/Duals | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Commercial | — | $0.05 | $0.03 | 2026-01-01 | 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 UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 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 TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $744.57 | $632.88 | 2025-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | PRIME WEST MEDICARE [16030] | PRIME WEST MSHO [1603001] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC Both | Security Health Plan | Default | — | $979.35 | $979.35 | 2026-04-16 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $310.00 | $263.50 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $744.57 | $409.51 | 2025-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO 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 BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $310.00 | $263.50 | 2025-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW COMM NETWORK [1602505] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 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 MEDICARE [16024] | MEDICA ADVANTAGE SOLUTION [1602401] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| HEDRICK MEDICAL CENTER Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | — | $1,313.45 | $788.07 | 2025-12-31 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | AARP MEDICARE [16001] | AARP MEDICARE COMPLETE [1600101] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA PRIME SOLUTION [1602403] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | 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 | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv 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 Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,081.49 | $540.74 | 2024-12-15 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Commercial | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW DISTINCT [1602507] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $744.57 | $409.51 | 2025-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS OUT OF STATE MEDICARE [1600802] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS PLATINUM BLUE [1600803] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS MN MEDICARE ADVANTAGE [1600801] | — | $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 BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|HMO | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Commercial | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Broad Networks | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Colorado Rockies | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Denver Health Hospital Authority HMO | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Rocky Mountain Health Plan | Commercial | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser | HMO | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Anthem Indemnity | Commercial | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | AMBETTER EXCHANGE-ALL STATES CONTRACTED [4121] | PHM AMBETTER BY ATC - RICHLAND | $0.03 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | HighPoint | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Multiplan | Commercial | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser | PPO | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | PHCS | Commercial | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Denver Health Medical Plan | Denver Health Hospital Authority HMO | $0.03 | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | AMBETTER EXCHANGE-ALL STATES CONTRACTED [4121] | PHM AMBETTER BY ATC - RICHLAND | $0.03 | $0.10 | $0.06 | 2026-03-01 | 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.