90696 — Dtap-ipv Vaccine 4-6 Yrs IM
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DTAP-IPV VACCINE 4-6 YRS IM (CPT 90696) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90696?code_type=CPT
MLA (9th ed.)
“DTAP-IPV VACCINE 4-6 YRS IM (CPT 90696) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90696?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DTAP-IPV VACCINE 4-6 YRS IM (CPT 90696) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90696?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64–$156 (25th–75th percentile) across 2,072 hospitals · 5,147 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90696 — 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 TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $113.00 | $79.10 | 2025-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $17.85 | $15.17 | 2025-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | MMC AETNA BETTER HEALTH | — | $848.02 | $237.18 | 2026-04-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | Aetna Better Health Kansas | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| OCEAN BEACH HOSPITAL BothFacility | NYLCare Health Plans Northwest | Basic Health Plan Non-Subsidized | — | $0.01 | $0.01 | 2026-10-23 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW COMM NETWORK [1602505] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of Texas | HMO | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Superior Health Plan MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | 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 Adult | — | — | — | 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 Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | — | $0.01 | $0.01 | 2026-08-01 | MRF ↗ |
| OCEAN BEACH HOSPITAL BothFacility | NYLCare Health Plans Northwest | Basic Health Plan Subsidized | — | $0.01 | $0.01 | 2026-10-23 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER 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 ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD 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 | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of TX MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| 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 Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | — | $591.03 | $168.85 | 2026-04-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 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 Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Hip Medicaid/Fhp/Chp | — | $0.01 | $0.01 | 2026-08-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN 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 | UHC Community Plan/DSNP | — | — | — | 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 | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $55.64 | $55.64 | 2026-07-15 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC Community Plan TX | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| OCEAN BEACH HOSPITAL BothFacility | NYLCare Health Plans Northwest | Healthy Options | — | $0.01 | $0.01 | 2026-10-23 | MRF ↗ |
| OCEAN BEACH HOSPITAL BothFacility | Amerigroup Washington | AMERIGROUP Community Care Medicaid | — | $0.01 | $0.01 | 2026-10-23 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 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 | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $113.00 | $79.10 | 2025-01-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW DISTINCT [1602507] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| OCEAN BEACH HOSPITAL BothFacility | NYLCare Health Plans Northwest | Basic Health Plan Plus | — | $0.01 | $0.01 | 2026-10-23 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred 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 BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | SUNFLOWER STATE HEALTH PLAN | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | — | $591.03 | $168.85 | 2026-04-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON 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 TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MedicareComplete | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | State | $0.04 | $103.00 | $73.13 | 2026-11-03 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.07 | $103.00 | $73.13 | 2026-11-03 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.11 | $242.00 | $181.50 | 2026-03-26 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.24 | $22.95 | $22.95 | 2026-04-24 | 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 BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.35 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.35 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.35 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.36 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.37 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.38 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.42 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.42 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.42 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.43 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.44 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $113.43 | $107.76 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $95.22 | $90.46 | 2026-02-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH OutpatientFacility | Sanford Health Plan | Medicare Advantage | $0.49 | $1.00 | $0.90 | 2026-01-09 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | CDPHP | MEDICAID Inpatient/Outpatient | $0.49 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH OutpatientFacility | Sanford Health Plan | Medicare Advantage | $0.49 | $1.00 | $0.90 | 2026-01-09 | 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.