90678 — Hc Rsv Vaccine Pref Subunit Bivalent For IM Use
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE (CPT 90678) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90678?code_type=CPT
MLA (9th ed.)
“HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE (CPT 90678) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90678?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE (CPT 90678) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90678?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $307–$693 (25th–75th percentile) across 1,700 hospitals · 3,876 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90678 — 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 BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON 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 | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 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 Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 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 BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 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 | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Vt Health Connect | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Empire Uhc | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Aetna Bayada Employer Group | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Casella Ga | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Commercial | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | First Health | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Vt Managed Care | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | United Healthcare Commerical | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Vt Tvhp | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Health Connect | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Cigna Medical Plans And Affiliates Great West Nalc Apwu | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Alabama | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Bcbs Vt Rrmc Plan | Hmo Ppo Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Oxford Uhc | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Cba Blue | Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Cdphp Commercial | Hmo Ppo Hmo | — | $0.01 | $0.01 | 2026-09-20 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 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 Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CORDOVA COMMUNITY MEDICAL CENTER Both | Blue Cross Of Ak Premera | Default | — | $1,170.10 | $585.05 | 2026-07-31 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.07 | $10.00 | $9.00 | 2026-04-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.21 | $19.82 | $19.82 | 2026-04-24 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $630.48 | — | 2026-07-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK E-CHILDREN | $0.66 | — | — | 2026-01-25 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (UB) | $0.76 | — | — | 2026-09-01 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE MEDICAID | IOWA TOTAL CARE MEDICAID | $0.82 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.82 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AMERIGROUP MEDICAID-ALL OTHER PLANS | AMERIGROUP MEDICAID-ALL OTHER PLANS | $0.82 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $735.00 | $551.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $735.00 | $551.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $735.00 | $551.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $3,334.00 | $2,500.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $735.00 | $551.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $735.00 | $551.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $735.00 | $551.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $3,334.00 | $2,500.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $735.00 | $551.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $735.00 | $551.25 | 2026-05-20 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | UHC MCR ADV | UHC MCR ADV | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1.10 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1.29 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $1,389.64 | $1,389.64 | 2026-04-01 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA HMO | AETNA HMO | $1.84 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $1.94 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $1.94 | $2.00 | $1.70 | 2026-02-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.16 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.22 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.22 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.28 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.28 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.34 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.34 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.86 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.86 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.86 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.86 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.92 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.92 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.04 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.04 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Premera | Commercial | — | $883.58 | $706.86 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Premera | Commercial | — | $883.58 | $706.86 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.15 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.15 | $584.10 | $554.90 | 2026-02-20 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $4.04 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $4.16 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $4.16 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $4.16 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $4.16 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $4.16 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $4.29 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $4.43 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $4.43 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $4.43 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $4.43 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $4.43 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Caresource | Just4Me/Marketplace | $4.70 | $10.00 | $9.00 | 2026-04-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | IMPERIAL HP - ALL PLANS | IMPERIAL HP - ALL PLANS | $4.71 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | IMPERIAL HP - ALL PLANS | IMPERIAL HP - ALL PLANS | $5.00 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET PRISON | HEALTHNET PRISON | $5.33 | $26.03 | $19.52 | 2025-12-23 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $5.43 | $14.00 | $7.00 | 2026-03-23 | MRF ↗ |
| George L Mee Memorial Hospital Outpatient | HEALTHNET PRISON | HEALTHNET PRISON | $5.66 | $26.03 | $19.52 | 2026-07-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $6.16 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6.16 | — | — | 2026-07-31 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $6.21 | $40.00 | $30.00 | 2025-12-23 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $6.34 | $330.00 | $264.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $6.34 | $330.00 | $264.00 | 2026-03-26 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $6.40 | $40.00 | $30.00 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $6.40 | $40.00 | $30.00 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $6.40 | $40.00 | $30.00 | 2025-12-23 | 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.