90791 — Psych Diagnostic Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCH DIAGNOSTIC EVALUATION (HCPCS 90791) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90791?code_type=HCPCS
MLA (9th ed.)
“PSYCH DIAGNOSTIC EVALUATION (HCPCS 90791) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90791?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PSYCH DIAGNOSTIC EVALUATION (HCPCS 90791) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90791?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $161–$379 (25th–75th percentile) across 2,513 hospitals · 7,330 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.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$161
$225 typical
$379
The middle 50% of negotiated facility rates for this procedure, measured across 2,513 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $225 |
| Physician fee Estimate national typical Medicare $137 × 1.22 commercial. | $167 |
| Likely subtotal | $392 |
Complete-episode estimate (typical)
~$392
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $161–$379.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 | — | — | — | $656.14 | $328.07 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $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 ↗ |
| 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 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $344.00 | — | 2026-07-01 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | UBH TX MEDICAID | UBH TX MEDICAID | $0.65 | $250.00 | — | 2026-05-20 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | TEXAS MEDICAID HEALTHCARE | TEXAS MEDICAID HEALTHCARE | $0.65 | $250.00 | — | 2026-05-20 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | MOLINA HEALTHCARE OF TX MEDICARE | MOLINA HEALTHCARE OF TX MEDICARE | $0.65 | $250.00 | — | 2026-05-20 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Amerigroup | Medicaid | $0.77 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Amerigroup | Medicaid | $0.77 | $240.00 | $192.00 | 2026-03-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $231.00 | $219.45 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $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 | United Healthcare | HMO | — | $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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,471.00 | $2,026.22 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | 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 ↗ |
| 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 ↗ |
| 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 - 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 - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $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 - 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 ↗ |
| RARITAN BAY 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 ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $3.54 | $354.47 | $265.85 | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.54 | $362.00 | $68.78 | 2026-05-20 | 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 ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $4.06 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $4.25 | $354.47 | $265.85 | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $4.61 | $354.47 | $265.85 | 2026-08-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $4.71 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $4.71 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $4.71 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $4.71 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $4.80 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $4.80 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $4.85 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $4.85 | $20.46 | $18.41 | 2026-07-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $4.96 | $354.47 | $265.85 | 2026-08-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $5.18 | — | — | 2026-07-15 | 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 | 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 | AMBETTER MCAID - ALL PLANS | AMBETTER MCAID - ALL PLANS | $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 ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Health Net Federal Services Llc | All Plans | $10.03 | $28.00 | $28.00 | 2026-07-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $10.21 | $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 | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - 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 ↗ |
| OHIO COUNTY HOSPITAL BothFacility | WELLCARE OF KENTUCKY, INC. - Medicaid | Medicaid Managed Care | $10.23 | $199.00 | $99.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | WELLCARE OF KENTUCKY, INC. - Medicaid | Medicaid Managed Care | $10.23 | $199.00 | $99.50 | 2026-01-12 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $10.28 | $354.47 | $265.85 | 2026-08-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | One Legacy | Commercial | — | $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 | Inland Faculty Medical Group | Medicare Advantage/Commercial | — | $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 | Inland Empire Health Plan | Medicare Advantage | — | $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 | LaSalle Medical Associates | Medi-Cal | — | $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 | Wellpath | Commercial | $10.50 | $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 | Molina | Covered California | — | $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 | 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 | LA Health Care | Medi-Cal | — | $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 | Correctional Health Partners | Medicare Replacement | — | $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 ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $10.97 | $240.00 | $192.00 | 2026-03-26 | 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 | Aetna | Better Health | — | $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 | Anthem | Pathway Transition HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $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 OutpatientFacility | Anthem | Pathway HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | United Healthcare | Medcaid | — | $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 | United Health Care / UMR | Commercial Plans | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Molina Complete & Choice Care | Medicare Molina Complete & Choice Care | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Healthy Connect Prime-First Choice | Healthy Connect Prime-First Choice | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Absolute Total Care | Medicaid Absolute Total Care | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Devoted Health | Medicare Devoted Health | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Greenwood Mills | $11.74 | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Bluechoice | Medicaid Bluechoice Other Cnty-Healthy Blue | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | First Health | First Health Generic | $11.74 | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Healthy Connect Prime-First Choice | First Choice Vip Sc Dsnp Medicare | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Aetna | Medicare Aetna | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Healthy Connect Prime-Wellcare By Atc | Healthy Connect Prime-Wellcare By Atc | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Ambetter-Atc Contracted | Ambetter-Atc Contracted | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Wellcare | Wellcare Health Plans Snp | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Humana Healthy Horizons | Medicaid Humana Healthy Horizons | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare United Healthcare | Medicare Uhc Dual & Dsnp | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Bluechoice | Bluechoice Health Plan Of Sc | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Select Health Of Sc | Medicaid Select Health Of Sc | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Molina Healthcare Of Sc | Medicaid Molina Healthcare Of Sc | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Bluechoice | Bluechoice Blue Option Exchange | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Bcbs South Carolina | Medicare Blue/Blue Plus/Blue Saver | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Molina Marketplace Contracted | Molina Marketplace - Contracted | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Humana | Medicare Humana | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Nhc Advantage | Medicare Nhc Advantage | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | First Choice Next | First Choice Next | — | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Mount Carmel Health Plan Inc | All Plans | $11.76 | $28.00 | $28.00 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $11.77 | $392.40 | $392.40 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $11.77 | $392.40 | $392.40 | 2026-07-15 | 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 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 ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $11.99 | $220.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC SHARED SAVINGS IP | — | $220.00 | — | 2026-01-15 | 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 | Tricare | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Cigna | All | $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 | Blue Cross Of Wyoming | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Select Health | 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 | United Healthcare | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| Memorial Hospital Sweetwater County OutpatientFacility | Cigna | All | $12.35 | $13.00 | $13.00 | 2026-03-29 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | First Choice Mid West | All | $12.35 | $13.00 | $13.00 | 2026-05-17 | 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 | Educators Mutual Insurance | 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 | Redirect | 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 ↗ |
| 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 | 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 | Medicaid (Wy) | — | $13.00 | $13.00 | $13.00 | 2026-05-17 | 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 | *Other Insurances Not Listed | — | $13.00 | $13.00 | $13.00 | 2026-05-17 | 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.