90821 — Pr Psychotherpy, Hosp (75-80)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR PSYCHOTHERPY, HOSP (75-80) (CPT 90821) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90821?code_type=CPT
MLA (9th ed.)
“PR PSYCHOTHERPY, HOSP (75-80) (CPT 90821) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90821?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR PSYCHOTHERPY, HOSP (75-80) (CPT 90821) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90821?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $196–$303 (25th–75th percentile) across 145 hospitals · 83 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90821 — 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 |
|---|---|---|---|---|---|---|---|
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $724.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $724.00 | $24.67 | 2026-03-22 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $44.02 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $44.02 | — | — | 2024-10-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $54.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $54.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $54.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $58.48 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $58.78 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $59.39 | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | COVERED CALIFORNIA | $61.69 | — | — | 2026-01-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $64.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $64.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $64.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $64.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $65.72 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $66.32 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $66.32 | — | — | 2026-04-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | 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 | AMERIGROUP | MEDICAID | $68.21 | — | — | 2025-12-29 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | HMO/POS/PPO | $68.45 | — | — | 2026-01-14 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $68.73 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $81.39 | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $85.01 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $86.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Aetna Medicare | Aetna Medicare | $86.40 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield IFP | EPN | $88.32 | — | — | 2025-06-11 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $89.53 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $89.53 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $89.57 | — | — | 2024-10-01 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | EPN | $94.15 | — | — | 2026-03-01 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $95.62 | — | — | 2026-01-25 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $100.45 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $100.45 | — | — | 2026-09-21 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $104.90 | — | — | 2025-06-11 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $106.11 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $108.22 | — | — | 2026-04-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_1401 | BC SPEC PROGRAMS AMBULATORY SURGERY | $108.99 | $724.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1401 | NY MEDICAID AMBULATORY SURGERY | $108.99 | $724.00 | $24.67 | 2026-03-22 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $110.63 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $110.63 | — | — | 2026-04-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $114.67 | — | — | 2026-03-01 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $115.00 | $212.00 | $170.00 | 2025-06-25 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $116.04 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $116.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $118.50 | — | — | 2026-04-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $118.80 | — | — | 2026-02-12 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $119.98 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $119.98 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $129.02 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $129.02 | — | — | 2026-04-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $131.83 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $131.83 | — | — | 2026-05-06 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $133.84 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $133.84 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $143.49 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Hmo | $143.49 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | Comm | $143.96 | — | — | 2024-10-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Value Options Comm (Chcs) | Value Options Comm (Chcs) | $144.00 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Hamaspik (Mcr) | Hamaspik (Mcr) | $144.00 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Value Options (Non-Hmo) | Value Options (Non-Hmo) | $144.00 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | COMM | $151.51 | — | — | 2026-03-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2026-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $158.00 | — | — | 2025-08-06 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $158.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $158.00 | — | — | 2026-04-01 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $159.00 | $212.00 | $170.00 | 2025-06-25 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $162.75 | — | — | 2026-01-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $164.16 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $164.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $164.48 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $164.48 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $164.48 | — | — | 2026-01-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Aetna Hp Network | Aetna Hp Network | $169.92 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $170.00 | $212.00 | $170.00 | 2025-06-25 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $171.94 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $171.94 | — | — | 2025-12-29 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $173.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $173.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Blue Cross Access | Blue Cross Access | $175.68 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $181.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $181.53 | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | $182.68 | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | $182.68 | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Shield | Epn Exchange | $182.68 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $185.90 | — | — | 2026-04-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Aetna Employee | Aetna Employee | $187.20 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Mvp Exchange | Mvp Exchange | $187.20 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Aetna | Aetna | $187.20 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $188.92 | — | — | 2025-10-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $189.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | OK Health Network | Commercial | $191.00 | $212.00 | $170.00 | 2025-06-25 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $195.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $195.30 | — | — | 2024-10-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $195.84 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $196.21 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $196.21 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | WC | $198.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $198.00 | — | — | 2024-10-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Blue Cross Small Group | Blue Cross Small Group | $198.72 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $199.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health | WC | $199.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $199.80 | — | — | 2024-10-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $200.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $200.00 | $266.00 | $266.00 | 2025-07-03 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Oxford Exchange | Oxford Exchange | $201.60 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | First Health | First Health | $201.60 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Inpatient | Magnacare Standard | Magnacare Standard | $201.60 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Cdphp | Cdphp | $201.60 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $202.46 | — | — | 2026-04-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $202.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | WC | $204.30 | — | — | 2024-10-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Emblem Ghi/Hip Ppo/Cbp | Emblem Ghi/Hip Ppo/Cbp | $207.36 | $288.00 | $288.00 | 2026-09-21 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $209.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $209.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $209.03 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $210.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $210.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $210.90 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $211.43 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $211.43 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $211.85 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $211.85 | — | — | 2024-10-01 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $212.00 | $212.00 | $170.00 | 2025-06-25 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $212.40 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Prime Health | WC | $212.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $212.40 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $212.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Prime Health | WC | $212.40 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $212.46 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $212.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $212.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $212.82 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $213.43 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $213.75 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $214.30 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $214.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health | WC | $215.10 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $215.34 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $215.65 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $215.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $215.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $215.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $215.96 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $218.81 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $218.81 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $220.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $220.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $220.03 | — | — | 2026-03-01 | MRF ↗ |
| HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS Outpatient | Blue Cross Commercial/Healthy Ny | Blue Cross Commercial/Healthy Ny | $220.32 | $288.00 | $288.00 | 2026-09-21 | 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.