90792 — Psych Diag Eval W/med Srvcs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCH DIAG EVAL W/MED SRVCS (CPT 90792) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90792?code_type=CPT
MLA (9th ed.)
“PSYCH DIAG EVAL W/MED SRVCS (CPT 90792) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90792?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PSYCH DIAG EVAL W/MED SRVCS (CPT 90792) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90792?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $165–$385 (25th–75th percentile) across 1,808 hospitals · 6,472 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90792 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$165
$228 typical
$385
The middle 50% of negotiated facility rates for this procedure, measured across 1,808 hospitals. Surgeon & anesthesia 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. | $228 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $159 × 1.22 commercial. | $194 |
| Likely subtotal | $422 |
Surgical episode (typical)
~$422
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,207
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $807.86 | $403.93 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $807.86 | $403.93 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.21 | $61.00 | $45.75 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.94 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.94 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.94 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.97 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.99 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $873.24 | $567.61 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $873.24 | $567.61 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.02 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.22 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.22 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.24 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.24 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.24 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.24 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.27 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.30 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.32 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.37 | $254.00 | $241.30 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.92 | — | — | 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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD 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 ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | MEDRISK MEDICARE ADVAN-ALL OTHER PLANS | $3.50 | $5.00 | $3.50 | 2025-12-10 | 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 ↗ |
| OSCEOLA COMMUNITY HOSPITAL Inpatient | None | — | — | $41.00 | $33.36 | 2026-04-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CORVEL MCARE WORKERS COMP-ALL PLANS | CORVEL MCARE WORKERS COMP-ALL PLANS | $4.50 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | SUNSHINE BEHAV COMM - ALL OTHER PLANS | SUNSHINE BEHAV COMM - ALL OTHER PLANS | $4.69 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | LONGEVITY MCR ADV-ALL PLANS | LONGEVITY MCR ADV-ALL PLANS | $4.69 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CLEAR SPRING HEALTH-ALL PLANS | CLEAR SPRING HEALTH-ALL PLANS | $4.92 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CAREPLUS MEDICARE | CAREPLUS MEDICARE | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FLORIDA HEALTH SOLUTION/HMO-ALL PLANS | FLORIDA HEALTH SOLUTION/HMO-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CAREPLUS HEALTH-ALL OTHER PLANS | CAREPLUS HEALTH-ALL OTHER PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | COVENTRY/VISTA SUMMIT MEDICARE-ALL OTHER PLANS | COVENTRY/VISTA SUMMIT MEDICARE-ALL OTHER PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AETNA COMMERCIAL-ALL OTHER PLANS | AETNA COMMERCIAL-ALL OTHER PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HUMANA MEDICARE | HUMANA MEDICARE | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AVMED-ALL PLANS | AVMED-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | COVENTRY COMML-ALL PLANS | COVENTRY COMML-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA MCR ADV | AETNA MCR ADV | $5.00 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BRIGHT HEALTH MEDICARE | BRIGHT HEALTH MEDICARE | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CENTURION-ALL PLANS | CENTURION-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FIRST MED HP OF FL-ALL PLANS | FIRST MED HP OF FL-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $5.00 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | DOCTORS HEALTHCARE-ALL PLANS | DOCTORS HEALTHCARE-ALL PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | SIMPLY HEALTHCARE MEDICARE-ALL OTHER PLANS | SIMPLY HEALTHCARE MEDICARE-ALL OTHER PLANS | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AETNA MEDICARE | AETNA MEDICARE | $5.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FLORIDA PACE MEDICARE-ALL PLANS | FLORIDA PACE MEDICARE-ALL PLANS | $5.25 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | HMA MCR ADV | HMA MCR ADV | $5.39 | $5.00 | $3.50 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | BRIGHT HEALTH-ALL OTHER PLANS | BRIGHT HEALTH-ALL OTHER PLANS | $6.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | WELLCARE OF KENTUCKY, INC. - Medicare Part B | Medicare Advantage | $6.11 | $211.00 | $105.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | WELLCARE OF KENTUCKY, INC. - Medicaid | Medicaid Managed Care | $6.27 | $211.00 | $105.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | ANTHEM KY MANAGED CARE PLAN, INC - Medicaid | Medicaid Managed Care | $6.65 | $211.00 | $105.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | AETNA BETTER HEALTH OF KENTUCKY - Medicaid | Medicaid Managed Care | $6.65 | $211.00 | $105.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | UNITEDHEALTHCARE - Medicaid | Medicaid Managed Care | $7.00 | $211.00 | $105.50 | 2026-01-12 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.92 | $516.00 | $516.00 | 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 | $9.52 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC HEALTHY OPTIONS | UHC HEALTHY OPTIONS | $9.52 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA HLTHY OPTIONS | MOLINA HLTHY OPTIONS | $9.52 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $10.00 | $5.00 | $3.50 | 2025-12-10 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $10.09 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | American Health Plan | Medicare Advantage | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Humana | PPO | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Medicare Advantage | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $10.25 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | $10.35 | $25.00 | $20.00 | 2026-04-13 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | $10.39 | $1,500.00 | $1,125.00 | 2026-04-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Wellpath | Commercial | $10.50 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | PacificSource | HMO Medicare Advantage | $10.55 | $25.00 | $20.00 | 2026-04-13 | 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 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 | United Healthcare | Medcaid | — | $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 | Humana | Choice Care Commercial | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $11.38 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | INDIAN HLTH SERVICES - ALL PLANS | INDIAN HLTH SERVICES - ALL PLANS | $11.38 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $11.38 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $11.38 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - ALL PLANS | $11.38 | $20.33 | $18.30 | 2026-03-09 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $300.00 | $300.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $300.00 | $300.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS SPIRIT | $12.23 | $300.00 | $300.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS HMO | $12.23 | $300.00 | $300.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS PPO | $12.23 | $100.00 | $100.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS POS | $12.23 | $300.00 | $300.00 | 2026-03-20 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $12.45 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $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 | Pathway HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $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 ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $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 ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $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 | Aetna | Better Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care Commercial | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $83.00 | $49.80 | 2025-01-22 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.39 | $445.00 | $66.75 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Select Health | All | $13.56 | $625.00 | $625.00 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL SWEETWATER COUNTY Inpatient | Union Pacific Railroad | All | $13.56 | $625.00 | $625.00 | 2026-05-17 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | The Health Plan | Commercial HMO/POS/PPO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | CareSource | Medicare Just for Me | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | IEX Commercial | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN/HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | IEX Commercial | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $13.92 | $139.15 | $69.58 | 2025-12-05 | 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 ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $87.00 | $52.20 | 2025-01-22 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $14.12 | $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 ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $14.26 | $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 | Wellcare | 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 ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $14.40 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $14.53 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $14.53 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $14.53 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $14.53 | $139.15 | $69.58 | 2025-12-05 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Choice Care | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Aetna | Commercial Health | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $91.00 | $54.60 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $91.00 | $54.60 | 2025-01-22 | 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.