90697 — Dip,pert(a)tet-hepb-polio-hib Ped(pf) 15-5 Unit-10 Mcg/0.5 Ml IM Syrng
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG (CPT 90697) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90697?code_type=CPT
MLA (9th ed.)
“DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG (CPT 90697) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90697?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG (CPT 90697) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90697?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $145–$274 (25th–75th percentile) across 1,532 hospitals · 2,902 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90697 — 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 |
|---|---|---|---|---|---|---|---|
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | — | $0.01 | $0.01 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Healthfirst | Managed Medicaid | — | $0.01 | $0.01 | 2026-08-01 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC Community Plan TX | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $478.70 | $406.90 | 2025-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Superior Health Plan MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | MMC AETNA BETTER HEALTH | — | $818.03 | $222.23 | 2026-04-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW DISTINCT [1602507] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of TX MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicare Advantage/Fida | — | $0.01 | $0.01 | 2026-07-15 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | Aetna Better Health Kansas | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | — | $482.03 | $152.89 | 2026-04-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW COMM NETWORK [1602505] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MedicareComplete | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-15 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | — | $482.03 | $152.89 | 2026-04-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | — | $482.03 | $152.89 | 2026-04-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | SUNFLOWER STATE HEALTH PLAN | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Outpatient | Molina Healthcare of Texas | HMO | — | $0.01 | $0.01 | 2026-05-15 | 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.41 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.42 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.44 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Community Health Plan of Washington | MedAdvantage | $0.44 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | MedAdvantage | $0.44 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.44 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.44 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Molina | MedAdvantage | $0.44 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | United Healthcare | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Regence | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Aetna | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Community Health Plan of Washington | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-28 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | WellCare | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-25 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Molina | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-28 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Blue Cross of Idaho | MedAdvantage | $0.46 | $2.67 | $1.07 | 2025-07-28 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.47 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.47 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.47 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.47 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | United Healthcare | MedAdvantage | $0.48 | $2.67 | $1.07 | 2025-07-28 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Regence | MedAdvantage | $0.48 | $2.67 | $1.07 | 2025-07-28 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Aetna | MedAdvantage | $0.48 | $2.67 | $1.07 | 2025-07-28 | 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 ↗ |
| 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 ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | WellCare | MedAdvantage | $0.49 | $2.67 | $1.07 | 2025-07-28 | 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 ↗ |
| 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.50 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.50 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | SCOAST Outpatient | $0.51 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.52 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC NAT FOC SAT Outpatient | $0.52 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.55 | $0.55 | $0.44 | 2026-11-06 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | ALL PRODUCTS Inpatient | $0.56 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | ALL PRODUCTS Inpatient | $0.56 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Harvard Pilgrim | LOC FOC LW Outpatient | $0.56 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | ALL PRODUCTS Inpatient | $0.56 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna Whole Health | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | MagnaCare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | HMO/POS LW Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $0.60 | $5.96 | $5.96 | 2026-07-15 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | United | MEDICARE Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Aetna | MEDICAID Inpatient/Outpatient | $0.60 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | MGB/Allways | HMO QHP Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | MGB/Allways | HMO QHP Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | MGB/Allways | HMO QHP Inpatient | $0.61 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | PPO LW Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Tufts Public Plan | ALL PRODUCTS Outpatient | $0.62 | $1.00 | $1.00 | 2026-04-01 | 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.