90736 — Hzv Vaccine Live Subq
Cite this view
HANK Price Transparency. (n.d.). HZV VACCINE LIVE SUBQ (CPT 90736) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90736?code_type=CPT
“HZV VACCINE LIVE SUBQ (CPT 90736) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90736?code_type=CPT. Accessed .
“HZV VACCINE LIVE SUBQ (CPT 90736) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90736?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $165–$469 (25th–75th percentile) across 1,637 hospitals · 2,965 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90736 — 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 | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO 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 Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $526.48 | $263.24 | 2024-12-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO 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 Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD 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 BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp 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 | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $526.48 | $263.24 | 2024-12-15 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 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 Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid 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 TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | — | — | — | $271.00 | $135.50 | 2026-04-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial 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 Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $669.21 | $368.07 | 2025-01-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid 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 | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 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 PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | 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 | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON 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 BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 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 Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO 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 Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN 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 VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $669.21 | $368.07 | 2025-01-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health 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 Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn Mcd | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Anthem | Anthem | $0.03 | $838.40 | $503.04 | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Exchange Blue Cross | Excblucr | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn Mcd | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Exchange Blue Cross | Excblucr | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL CLINTON Outpatient | Anthem | Anthem | $0.03 | $838.40 | $503.04 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Anthem Bcbs | Anthem In Ppo | $0.03 | $2,642.47 | $792.74 | 2026-07-17 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn Mcd 1 | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Anthem Bcbs | Anthem In Ppo | $0.03 | $2,756.53 | $661.57 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn 1 | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn Mcd 1 | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Both | Anthem Blue Cross Blue Shield | Antheppn 1 | $0.03 | $234.00 | $140.40 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Blue Cross | Blue Cross Medicare | $0.50 | $816.98 | $490.19 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Blue Cross | Blue Cross Medicare | $0.50 | $816.98 | $490.19 | 2026-05-14 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $4,183.00 | $3,137.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $4,183.00 | $3,137.25 | 2026-09-01 | 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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $2.36 | $98.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $2.60 | $98.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $2.78 | $98.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.10 | $98.00 | — | 2026-08-17 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.11 | $298.60 | $298.60 | 2026-04-24 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Uhc | Quest | $4.00 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | ODS (EOCCO) | Eastern Oregon Coordinated Care Medicaid | $5.62 | $15.19 | $15.19 | 2026-03-19 | MRF ↗ |
| GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $6.83 | $15.19 | $15.19 | 2026-03-19 | MRF ↗ |
| GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | BCBS Regence of OR | Medicare Advantage | $6.83 | $15.19 | $15.19 | 2026-03-19 | MRF ↗ |
| GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare | $6.83 | $15.19 | $15.19 | 2026-03-19 | MRF ↗ |
| GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Tricare West | Triwest Veterans | $6.83 | $15.19 | $15.19 | 2026-03-19 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $7.00 | $14.00 | $13.00 | 2025-09-22 | MRF ↗ |
| PROSSER MEMORIAL HOSPITAL Outpatient | Kaiser Permanente | All Commercial Plans | $7.20 | $36.00 | $19.80 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $668.52 | $260.72 | 2026-07-31 | 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.