90679 — Rsv Vacc Pref Recomb Adjt IM
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RSV VACC PREF RECOMB ADJT IM (CPT 90679) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90679?code_type=CPT
MLA (9th ed.)
“RSV VACC PREF RECOMB ADJT IM (CPT 90679) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90679?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RSV VACC PREF RECOMB ADJT IM (CPT 90679) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90679?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $306–$580 (25th–75th percentile) across 1,328 hospitals · 2,747 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90679 — 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.15 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.21 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.21 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.27 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.27 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.33 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.33 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $2.56 | $3.65 | $2.56 | 2026-02-02 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $2.74 | $3.65 | $2.56 | 2026-02-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.85 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.85 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.85 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.85 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.91 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.91 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.03 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.03 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.14 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.14 | $582.12 | $553.01 | 2026-02-20 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6.16 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $6.16 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $6.34 | — | — | 2026-07-31 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD - ALL PLANS | REGENCE BLUE SHIELD - ALL PLANS | $7.88 | $3.65 | $2.56 | 2026-02-02 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $7.92 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $8.19 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $8.51 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $8.51 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $8.51 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $8.59 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $8.67 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $8.67 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $8.76 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $8.76 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $8.76 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $8.88 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $8.92 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $8.92 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $9.02 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $9.05 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $9.05 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $9.05 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $9.14 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $9.17 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $9.22 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $9.22 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $9.48 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $9.77 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $9.96 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $9.96 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $9.96 | — | — | 2025-06-28 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | United Healthcare | United Healthcare | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $10.00 | — | — | 2026-07-18 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Humana | Managed Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-18 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource Oh | Managed Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | $10.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Peak Health Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Humana Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Multiplan | Multiplan | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna | Aetna | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Buckeye Commercial | Buckeye Commercial | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Pathway Exchange | Anthem Pathway Exchange | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Cigna | Cigna | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Amerihealth Caritas Pa | Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Molina Oh | Managed Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Molina Oh Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Molina Managed Medicaid | Molina Managed Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | The Health Plan | The Health Plan | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $10.00 | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource | Caresource | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Amerihealth Caritas Pa Medicare Advantage | Amerihealth Caritas Pa Medicare Advantage | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | 4Most Zelis Stratose | 4Most Zelis Stratose | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Medicare Advantage Ppo | Anthem Medicare Advantage Ppo | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Oh Medicaid | Anthem Oh Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $10.00 | — | — | 2026-03-27 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Medica | IFB ACO | $10.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Ohio | Managed Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Senior Life Medicare Advantage | All Plans | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Steel | Blue Cross Blue Shield Steel | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna Rental | Aetna Rental | — | $456.00 | $228.00 | 2026-07-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $10.15 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $10.15 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $10.44 | — | — | 2025-06-28 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $10.51 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $10.51 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $10.51 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $10.51 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $10.72 | — | — | 2025-07-22 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $10.73 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Amerihealth | Mcd Advantage | $11.00 | — | — | 2026-07-19 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Total Care | Wellcare | $11.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Total Care | Commercial | $11.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | GEISINGER | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Medica | Prime Solution Premiere | $11.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield | Medicare Advantage | $11.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Medica | Medicare Advantage | $11.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $11.27 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $11.27 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $11.29 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $11.29 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $11.29 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $11.29 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $11.40 | — | — | 2026-07-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $11.40 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $11.46 | — | — | 2025-07-22 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $11.48 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $11.48 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company | United Medicaid | $11.50 | $1,047.04 | $376.93 | 2026-07-15 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.80 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $11.80 | — | — | 2026-07-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $11.80 | $363.00 | $235.95 | 2026-06-15 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $11.90 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $11.90 | — | — | 2025-08-01 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-04-14 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Aetna | Advantra HMO | $12.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-04-14 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Medicaid | $12.00 | $1,047.04 | $376.93 | 2026-07-15 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Healthy Blue | Commercial | $12.00 | $20.00 | $16.00 | 2025-08-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Great Plains | Medicare Advantage | $12.00 | $20.00 | $16.00 | 2025-08-01 | 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.