90736 — Hzv Vaccine Live Subq
Cite this view
APA (7th ed.)
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
MLA (9th ed.)
“HZV VACCINE LIVE SUBQ (CPT 90736) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90736?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“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 $167–$471 (25th–75th percentile) across 1,373 hospitals · 2,798 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 Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 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 | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON 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 Heritage Select Adv Pediatric | — | — | — | 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 Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY 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 WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY 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 | Aetna | Aetna Better Health | — | — | — | 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 | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD 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 ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $526.48 | $263.24 | 2024-12-15 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $669.21 | $368.07 | 2025-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $526.48 | $263.24 | 2024-12-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 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 Options PPO 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 Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 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 | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO 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 | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO-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 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 GWINNETT Outpatient | BCBS | Blue HPN-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 DULUTH Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Anthem | Anthem - HMO/PPO | $0.03 | $1,099.00 | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO-L | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN-L | $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 ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO | $0.03 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN | $0.03 | $896.00 | $672.00 | 2026-02-14 | 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 GWINNETT Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-15 | 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 | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO-L | $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 ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO | $0.05 | $896.00 | $672.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO-L | $0.05 | $896.00 | $672.00 | 2026-02-14 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | 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 ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $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 ↗ |
| 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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.11 | $298.60 | $298.60 | 2026-04-24 | 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 | Tricare West | Triwest Veterans | $6.83 | $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 | United Healthcare | Medicare | $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 ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $7.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Total Care | Managed Medicaid | $9.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | BCBS | Medicare Advantage | $9.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $9.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $9.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | UHC Community Plan | Managed Medicaid | $9.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.74 | $487.00 | — | 2026-03-31 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Gateway Health Plan | Medicare Advantage | $10.00 | $431.00 | — | 2026-04-13 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Gateway Health Plan | Medicare Advantage | $10.00 | $431.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Gateway Health Plan | Diamond DSNP/Ruby DSNP | $10.00 | $431.00 | — | 2026-04-08 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $10.00 | — | — | 2026-03-27 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Gateway Health Plan | Medicare Advantage | $10.00 | $431.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Gateway Health Plan | Medicare Advantage | $10.00 | $431.00 | — | 2026-04-13 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Gateway Health Plan | Medicare Advantage | $10.00 | $431.00 | — | 2026-04-13 | MRF ↗ |
| UPMC KANE OutpatientFacility | Aetna | CHIP/Medicaid | $11.00 | $743.00 | $445.80 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $743.00 | $445.80 | 2026-03-06 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | GEISINGER | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| UPMC KANE OutpatientFacility | Aetna | CHIP/Medicaid | $11.00 | $743.00 | $445.80 | 2026-03-06 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Midlands Choice | Commercial | $11.00 | $14.00 | $13.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Molina | Commercial | $11.00 | $21.00 | $19.00 | 2026-05-27 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $11.00 | $21.00 | $19.00 | 2026-05-27 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $743.00 | $445.80 | 2026-03-06 | 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 ↗ |
| UPMC GREENE OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.50 | $375.00 | $112.50 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $375.00 | $112.50 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $375.00 | $112.50 | 2025-08-06 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.50 | $375.00 | $112.50 | 2025-08-06 | 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 ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - POCONO 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $11.50 | $743.00 | $445.80 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $11.50 | $743.00 | $445.80 | 2026-03-06 | 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 ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $11.90 | — | — | 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.