90791 — Psych Diagnostic Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCH DIAGNOSTIC EVALUATION (CPT 90791) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90791?code_type=CPT
MLA (9th ed.)
“PSYCH DIAGNOSTIC EVALUATION (CPT 90791) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90791?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PSYCH DIAGNOSTIC EVALUATION (CPT 90791) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90791?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $161–$383 (25th–75th percentile) across 2,050 hospitals · 7,802 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90791 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $656.14 | $328.07 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $656.14 | $328.07 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.21 | $101.00 | $75.75 | 2026-03-26 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | UBH TX MEDICAID | UBH TX MEDICAID | $0.65 | $250.00 | — | 2026-05-13 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | TEXAS MEDICAID HEALTHCARE | TEXAS MEDICAID HEALTHCARE | $0.65 | $250.00 | — | 2026-05-13 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | MOLINA HEALTHCARE OF TX MEDICARE | MOLINA HEALTHCARE OF TX MEDICARE | $0.65 | $250.00 | — | 2026-05-13 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Amerigroup | Medicaid | $0.77 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,397.19 | $908.17 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | HMO | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,397.19 | $908.17 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.13 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.16 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.16 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.16 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.20 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.20 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.20 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.25 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.25 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.25 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.42 | $790.00 | $159.97 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.94 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.94 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.37 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.37 | — | — | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.54 | $373.00 | $70.87 | 2026-01-25 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.64 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.67 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.08 | $501.00 | $501.00 | 2026-02-13 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $8.05 | — | — | 2026-03-18 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMBETTER MCAID - ALL PLANS | AMBETTER MCAID - ALL PLANS | $8.53 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA HLTHY OPTIONS | MOLINA HLTHY OPTIONS | $8.53 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC HEALTHY OPTIONS | UHC HEALTHY OPTIONS | $8.53 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $9.05 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $10.21 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | INDIAN HLTH SERVICES - ALL PLANS | INDIAN HLTH SERVICES - ALL PLANS | $10.21 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $10.21 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - ALL PLANS | $10.21 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $10.21 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | WELLCARE OF KENTUCKY, INC. - Medicaid | Medicaid Managed Care | $10.23 | $199.00 | $99.50 | 2026-01-12 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $10.28 | $149.00 | $104.30 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $10.28 | $149.00 | $104.30 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $10.28 | $149.00 | $104.30 | 2026-04-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Covered California | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LaSalle Medical Associates | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Kaiser Senior | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Alpha Care | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Physician Health Network | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | One Legacy | Commercial | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Medicare Advantage/Commercial | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Triwest | Medicare Replacement | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Wellpath | Commercial | $10.50 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medicare Advantage | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Correctional Health Partners | Medicare Replacement | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | InnovAge | Medicare Advantage/PACE | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LA Health Care | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Covered California | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $10.97 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | United Healthcare | Medcaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Medicaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Aetna | Better Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Humana | Choice Care Commercial | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UMR O/P | UMR OP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC COMM IP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UMR O/P | UMR IP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC SHARED SAVINGS IP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $11.99 | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC SHARED SAVINGS OP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC COMM OP | — | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $11.99 | $220.00 | — | 2026-01-15 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Educators Mutual Insurance | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Blue Cross Of Wyoming | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Tricare | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Educators Mutual Insurance | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Va | — | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Aetna | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Redirect | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Cigna | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Select Health | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | United Healthcare | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Aetna | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Redirect | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | First Choice | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Union Pacific Railroad | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Cigna | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | United Helathcare | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | First Choice Mid West | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $12.36 | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $12.36 | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $12.36 | $220.00 | — | 2026-01-15 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $12.45 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Union Pacific Railroad | All | $13.00 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Select Health | All | $13.00 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Medicare | — | $13.00 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | *Other Insurances Not Listed | — | $13.00 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Medicaid (Wy) | — | $13.00 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Aetna | Better Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Care Source | Just 4 Me Medicare | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care Commercial | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $13.72 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $13.72 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $13.72 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $13.72 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $13.91 | $18.23 | $16.41 | 2026-03-09 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $13.92 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | IEX Commercial | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $13.92 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | IEX Commercial | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Default | $14.00 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $14.00 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $14.00 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $14.12 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $14.26 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $14.26 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-12 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $14.39 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $14.39 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $14.39 | $139.15 | $69.58 | 2025-12-05 | 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.