90816 — Pr Psychotherpy, Hosp (20-30)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR PSYCHOTHERPY, HOSP (20-30) (CPT 90816) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90816?code_type=CPT
MLA (9th ed.)
“PR PSYCHOTHERPY, HOSP (20-30) (CPT 90816) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90816?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR PSYCHOTHERPY, HOSP (20-30) (CPT 90816) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90816?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $72–$227 (25th–75th percentile) across 154 hospitals · 162 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90816 — 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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $2.95 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $3.24 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $9.86 | $409.00 | — | 2026-08-17 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $375.00 | $24.67 | 2026-03-22 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $10.84 | $409.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $11.62 | $409.00 | — | 2026-08-17 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $12.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $12.92 | $409.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $15.89 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $18.34 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $18.34 | $122.25 | — | 2026-08-17 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $375.00 | $24.67 | 2026-03-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $23.41 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $23.41 | — | — | 2024-10-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC OutpatientFacility | AETNA ADULT | PPO/POS | $23.79 | $38.50 | $38.50 | 2024-12-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $29.00 | $121.00 | $121.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $29.00 | $121.00 | $121.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $29.00 | $121.00 | $121.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $29.00 | $121.00 | $121.00 | 2025-07-03 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $29.12 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $29.12 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $29.12 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $31.04 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $31.17 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $31.17 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $31.17 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $31.17 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $31.17 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $31.17 | $122.25 | — | 2026-09-02 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $31.20 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $31.52 | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | COVERED CALIFORNIA | $32.76 | — | — | 2026-01-14 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $34.88 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $35.20 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $35.20 | — | — | 2026-04-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $35.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $35.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | MyBlueHealth | $35.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | HMO/POS/PPO | $36.36 | — | — | 2026-01-14 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $36.48 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $36.67 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $36.67 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Aetna | Commercial | $36.67 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $36.67 | $122.25 | — | 2026-08-17 | MRF ↗ |
| SILVER HILL HOSPITAL INC OutpatientFacility | AETNA ADULT | PPO/POS | $37.39 | $60.50 | $60.50 | 2024-12-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $39.00 | $121.00 | $121.00 | 2025-07-03 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Aetna Medicare | Aetna Medicare | $39.30 | $131.00 | $131.00 | 2026-09-21 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | AmbetterEPO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | ValueHMO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $40.80 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $42.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueAdvantage | $42.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $42.00 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $43.20 | — | — | 2026-04-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $43.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $43.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $43.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $43.84 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $43.84 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $43.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $44.18 | $232.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MED ADV | BLUE CROSS MED ADV | $44.18 | $232.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CAREMORE MED ADV - ALL PLANS | CAREMORE MED ADV - ALL PLANS | $44.18 | $232.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MED ADV | KAISER MED ADV | $44.18 | $232.50 | — | 2026-05-11 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $44.57 | — | — | 2026-01-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $45.12 | — | — | 2026-04-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Meritain | Commercial | $45.50 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $45.59 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $45.59 | — | — | 2026-09-21 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $45.60 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Imperial Insurance | MGMCR | $45.60 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Imperial Insurance | MGMCR | $45.60 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | HIX | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Oscar | HIX | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Oscar | HMO | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Oscar | HMO | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | HMO | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Oscar | HIX | $46.08 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL HP MED ADV | CENTRAL HP MED ADV | $46.38 | $232.50 | — | 2026-05-11 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $46.45 | $122.25 | — | 2026-08-17 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | United Healthcare Va | — | $46.64 | $88.00 | — | 2026-07-31 | MRF ↗ |
| CLAIBORNE COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $46.72 | $146.00 | $131.40 | 2026-04-17 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield IFP | EPN | $46.88 | — | — | 2025-06-11 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $47.52 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $47.52 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $47.56 | — | — | 2024-10-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | CIGNA | Commercial | $49.32 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | EPN | $50.01 | — | — | 2026-03-01 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $51.00 | $94.00 | $75.00 | 2025-06-25 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Oscar | PPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Oscar | PPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Oscar | EPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Oscar | EPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Oscar | POS | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | POS | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | EPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Oscar | POS | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Oscar | PPO | $51.36 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $51.53 | — | — | 2026-02-12 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $53.17 | $409.00 | — | 2026-09-02 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $53.25 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $55.68 | — | — | 2025-06-11 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $56.32 | — | — | 2026-04-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MODA | HIX | $56.40 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | MODA | HIX | $56.40 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | MODA | HIX | $56.40 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Aetna HMO | HMO | $57.33 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $57.44 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $58.72 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $58.72 | — | — | 2026-04-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | BCBS HIX | Commercial | $59.15 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $59.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | United | OptionsPPO | $59.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | OptionsPPO | $59.76 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $59.83 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $59.83 | — | — | 2026-09-21 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | UHC MED ADV | UHC MED ADV | $60.45 | $232.50 | — | 2026-05-11 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | Cigna | Commercial | $61.12 | $122.25 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $61.12 | $122.25 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $61.35 | $409.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $61.35 | $409.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $61.35 | $409.00 | — | 2026-08-17 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Humana | — | $61.60 | $88.00 | — | 2026-07-31 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $61.76 | — | — | 2026-04-01 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Medicare Select | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Passport Medicaid | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Molina Healthcare Medicaid | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Wellcare Medicaid | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Medicaid | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Medicare Advantage | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Molina Healthcare Medicare Advantage | — | $62.48 | $88.00 | — | 2026-07-31 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $63.68 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $63.68 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Access *Refer To Anthem Case Rate Tab | — | $64.24 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Preferred *Refer To Anthem Case Rate Tab | — | $64.24 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Blue Traditional *Refer To Anthem Case Rate Tab | — | $64.24 | $88.00 | — | 2026-07-31 | MRF ↗ |
| JANE TODD CRAWFORD HOSPITAL | Anthem Pathway Ppo *Refer To Anthem Case Rate Tab | — | $64.24 | $88.00 | — | 2026-07-31 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $64.37 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $64.37 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $64.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $64.37 | — | — | 2026-01-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Blue Cross HMO/POS | POS | $65.00 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Blue Cross Open Access | Open Access | $65.00 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Value Options Comm (Chcs) | Value Options Comm (Chcs) | $65.50 | $131.00 | $131.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Hamaspik (Mcr) | Hamaspik (Mcr) | $65.50 | $131.00 | $131.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Value Options (Non-Hmo) | Value Options (Non-Hmo) | $65.50 | $131.00 | $131.00 | 2026-09-21 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentials | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | BCBS | BlueEssentialsAccess | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $65.52 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Health Smart | PPO | $68.25 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Humana | Commercial | $68.43 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $68.48 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $68.48 | — | — | 2026-04-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Covenant Management Systems | HMO | $69.12 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $69.12 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Covenant Management Systems | HMO | $69.12 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Healthcare Highways | EPO | $69.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $69.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Healthcare Highways | EPO | $69.84 | $240.00 | $240.00 | 2026-03-01 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross Open Access | Open Access | $70.00 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross HMO/POS | POS | $70.00 | $91.00 | $68.25 | 2026-02-25 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $71.00 | — | — | 2025-08-06 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $71.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $71.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $71.00 | — | — | 2026-04-01 | 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.