90791 — Psych Diagnostic Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Psych 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
MLA (9th ed.)
“Psych diagnostic evaluation (OTHER 90791) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90791?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Psych 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 $146–$251 (25th–75th percentile) across 55 hospitals · 229 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 |
|---|---|---|---|---|---|---|---|
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $13.44 | $348.00 | $243.60 | 2026-05-22 | 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 ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $13.44 | $348.00 | $243.60 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $45.56 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $45.56 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $45.95 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $45.95 | — | — | 2026-05-23 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $50.00 | $815.00 | $489.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $50.00 | $815.00 | $489.00 | 2026-07-30 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | United Healthcare | Managed Care | $54.23 | $281.00 | $112.40 | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $57.44 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $59.92 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $60.38 | $305.00 | $305.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $60.38 | $305.00 | $305.00 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $60.70 | $281.00 | $112.40 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Aetna | Managed Care | $61.82 | $281.00 | $112.40 | 2026-05-08 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $72.82 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $72.82 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $75.00 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $75.00 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Scott And White Healthplan | Managed Care | $75.87 | $281.00 | $112.40 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicaid Op | — | $78.17 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Meridian Medicaid Op | — | $78.17 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Blue Cross Complete Medicaid Op | — | $78.17 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Mclaren Medicaid Op | — | $78.17 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicaid Op | — | $78.17 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $80.10 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $80.10 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $80.10 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $80.10 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $80.10 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $80.10 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $80.10 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $80.10 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $81.32 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $82.01 | $221.64 | $166.23 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $83.68 | $226.16 | $169.62 | 2026-07-17 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $83.76 | $349.00 | $209.40 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $83.76 | $349.00 | $209.40 | 2026-05-24 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $85.00 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $85.00 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $85.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $85.70 | — | — | 2026-05-14 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $90.00 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $90.00 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $90.22 | — | — | 2026-05-13 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $90.98 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $90.98 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | United Healthcare | Managed Care | $93.03 | $482.00 | $192.80 | 2026-05-08 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $94.00 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $94.00 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $96.77 | $221.00 | $143.65 | 2026-07-31 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $97.18 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $98.54 | $250.00 | $190.00 | 2026-05-27 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $98.80 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $98.80 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $99.16 | $268.00 | $268.00 | 2026-05-13 | MRF ↗ |
| WESTERN MENTAL HEALTH INSTITUTE | Medicare Daily Rate Paid | — | $99.37 | $135.63 | — | 2026-07-19 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $99.46 | $250.00 | $190.00 | 2026-05-27 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Cigna | Managed Care | $99.75 | $281.00 | $112.40 | 2026-05-08 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $100.08 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $100.08 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $100.08 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $100.08 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $100.08 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $100.08 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $100.08 | $486.00 | $291.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $100.08 | $486.00 | $291.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $101.14 | $389.00 | $233.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $101.14 | $389.00 | $233.40 | 2026-07-30 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Molina | Managed Medicaid | — | $321.00 | $200.95 | 2026-05-14 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Superior | Medicaid | $104.11 | $482.00 | $192.80 | 2026-05-08 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Meridian Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Meridian Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Health Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Molina Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Mclaren Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Complete Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Mclaren Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Molina Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Complete Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Mclaren Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Meridian Health Plan Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Molina Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Complete Medicaid Op | — | $105.70 | $214.00 | $53.50 | 2026-07-31 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $106.00 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | United Healthcare Medicare Advantage | — | $106.00 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Aetna | Managed Care | $106.04 | $482.00 | $192.80 | 2026-05-08 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $988.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $106.05 | $380.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $380.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | — | $380.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $380.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | — | $988.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $988.00 | $230.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $106.05 | $988.00 | $230.00 | 2026-07-15 | MRF ↗ |
| Prairie View Inc | United Healthcare Commercial | — | $106.93 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| Prairie View Inc | United Healthcare Commercial | — | $106.93 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $107.05 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $107.05 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $107.81 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $107.81 | — | — | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcbs Op | — | $108.33 | $214.00 | $53.50 | 2026-08-01 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Commercial | — | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $109.91 | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $204.00 | $153.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $204.00 | $153.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | C-16 | — | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $204.00 | $153.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $204.00 | $153.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $109.91 | $204.00 | $153.00 | 2026-05-13 | 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.