90791 — Psychiatric Diagnostic Evaluation
Cite this view
HANK Price Transparency. (n.d.). PSYCHIATRIC DIAGNOSTIC EVALUATION (OTHER 90791) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90791?code_type=OTHER
“PSYCHIATRIC DIAGNOSTIC EVALUATION (OTHER 90791) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90791?code_type=OTHER. Accessed .
“PSYCHIATRIC DIAGNOSTIC EVALUATION (OTHER 90791) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90791?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $162–$336 (25th–75th percentile) across 247 hospitals · 777 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $4.06 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $5.18 | — | — | 2026-05-27 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $13.44 | $348.00 | $243.60 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $13.44 | $348.00 | $243.60 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $13.44 | $348.00 | $243.60 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $13.44 | $348.00 | $243.60 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $15.47 | $481.71 | $245.67 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $17.58 | $547.51 | $279.23 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $18.61 | $481.71 | $173.42 | 2026-01-01 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $20.05 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $20.05 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $20.25 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Sentara Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $20.45 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Optum Uhc Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Optum Uhc Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Optum Uhc Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Behavioral Health | — | $20.45 | $548.00 | $180.84 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $20.65 | $548.00 | $180.84 | 2026-05-09 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $21.15 | $547.51 | $197.10 | 2026-01-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $21.89 | $481.71 | $173.42 | 2026-01-01 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | All Payer | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | All Payer | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-06 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $571.00 | $399.70 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | — | $337.00 | $235.90 | 2026-05-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $24.87 | $547.51 | $197.10 | 2026-01-01 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $26.25 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $26.25 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $26.25 | — | — | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $27.39 | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Plan Spirit | Tufts Plan Spirit | $29.21 | — | — | 2026-05-13 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $30.13 | $91.30 | $63.91 | 2026-05-08 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Optumhealth Medicaid | Behavioral Health | $33.16 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Optumhealth Medicaid | Behavioral Health | $33.16 | — | — | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Optumhealth Medicaid | Behavioral Health | $33.16 | — | — | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Harvard Pilgrim | All Plans | $33.35 | $481.71 | $245.67 | 2025-01-10 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | — | $258.00 | $154.80 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | First Health Ccn | Ppo | — | $258.00 | $154.80 | 2026-05-06 | 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.