90832 — Psytx W Pt 30 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYTX W PT 30 MINUTES (CPT 90832) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90832?code_type=CPT
MLA (9th ed.)
“PSYTX W PT 30 MINUTES (CPT 90832) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90832?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PSYTX W PT 30 MINUTES (CPT 90832) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90832?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $108–$246 (25th–75th percentile) across 2,569 hospitals · 6,997 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90832 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$108
$175 typical
$246
The middle 50% of negotiated facility rates for this procedure, measured across 2,569 hospitals. The physician 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. | $175 |
| Physician fee Estimate national typical Medicare $69 × 1.22 commercial. | $85 |
| Likely subtotal | $259 |
Complete-episode estimate (typical)
~$259
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $108–$246.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $1,038.87 | $519.43 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,038.87 | $519.43 | 2024-12-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.41 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.43 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.43 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.44 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.44 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.55 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.55 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.55 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.55 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.58 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.58 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $112.00 | $106.40 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $263.00 | — | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.81 | $452.00 | $159.97 | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,047.89 | $681.13 | 2025-11-26 | MRF ↗ |
| Peterson Healthcare And Rehabilitation Hospital Inpatient | The Health Plan Medicaid | Ppo | $1.00 | $1.00 | — | 2026-07-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,047.89 | $681.13 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Ppo | — | $59.00 | $57.23 | 2026-07-15 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Hmo | — | $59.00 | $57.23 | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.59 | $158.59 | $118.94 | 2026-07-31 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Wellmed | Medicare Advantage | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Tri-West | Federal | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare Advantage | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Blue Cross- Medicare Advantage | Medicare Advantage | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | Medicare Advantage | $1.68 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.77 | $175.00 | $33.25 | 2026-05-20 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.90 | $158.59 | $118.94 | 2026-07-17 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $1.92 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $1.92 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $1.92 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $1.92 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $1.96 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $1.96 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $1.98 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.98 | $207.53 | $124.52 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.98 | $207.53 | $124.52 | 2025-08-11 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $1.98 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $2.06 | $158.59 | $118.94 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2.22 | $158.59 | $118.94 | 2026-08-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.23 | — | — | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.26 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.28 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.28 | — | — | 2026-03-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.33 | $484.00 | $179.08 | 2026-03-31 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Humana- HMO/PPO/Traditional | HMO/PPO/Traditional | $2.35 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | United Healthcare- HMO/PPO | HMO/PPO | $2.48 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.59 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.61 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.61 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2.66 | $126.87 | $95.15 | 2026-08-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.82 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.84 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.84 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Baylor Scott & White - Firstcare Commercial | PPO | $3.02 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Cigna - HMO/PPO/Traditional | HMO/PPO/Traditional | $3.02 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Aetna - HMO/PPO | HMO/PPO | $3.02 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Humana- HMO/PPO/Traditional | HMO/PPO/Traditional | $3.08 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Blue Cross - PPO/HMO/Blue Advantage | PPO/HMO/Blue Advantage | $3.08 | $3.35 | $2.51 | 2024-06-28 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.54 | $185.00 | $185.00 | 2026-02-13 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMBETTER MCAID - ALL PLANS | AMBETTER MCAID - ALL PLANS | $3.67 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA HLTHY OPTIONS | MOLINA HLTHY OPTIONS | $3.67 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC HEALTHY OPTIONS | UHC HEALTHY OPTIONS | $3.67 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $3.89 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $4.38 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $4.38 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | INDIAN HLTH SERVICES - ALL PLANS | INDIAN HLTH SERVICES - ALL PLANS | $4.38 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - ALL PLANS | $4.38 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $4.38 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Tri Care Healthnet (12100) | — | $4.50 | $204.00 | $204.00 | 2026-07-18 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Medicare Advantage | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $4.50 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $4.60 | $158.59 | $118.94 | 2026-08-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Vail Health | COMM | $5.02 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $5.20 | $173.31 | $173.31 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $5.20 | $173.31 | $173.31 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $5.37 | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $5.37 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Health Partners | Managed Medicaid | — | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Amerihealth | Managed Medicaid | — | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Fidelis | Managed Medicaid | — | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Icircle | Managed Medicaid | — | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Geisinger | Managed Medicaid | — | $29.84 | $23.87 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $5.45 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Cigna | All Commercial Products | $5.55 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $5.56 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | PACIFIC STEEL DIRECT- ALL PLANS | PACIFIC STEEL DIRECT- ALL PLANS | $5.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $5.64 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $5.91 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $5.91 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $5.91 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.97 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $5.98 | $300.00 | $99.00 | 2026-07-15 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $610.00 | $158.60 | 2026-02-18 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $5.98 | $300.00 | $99.00 | 2026-07-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $5.99 | $110.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $5.99 | $110.00 | — | 2026-01-15 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | PACIFICSOURCE EMPLOY | PACIFICSOURCE EMPLOY | $6.00 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $6.04 | $300.00 | $99.00 | 2026-07-15 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-SBP | $6.07 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $6.10 | $300.00 | $99.00 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $6.16 | $300.00 | $99.00 | 2026-07-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $6.18 | $110.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $6.18 | $110.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $6.18 | $110.00 | — | 2026-01-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA EXCHANGE-ALL OTHER PLANS | MOLINA EXCHANGE-ALL OTHER PLANS | $6.23 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | FOCUS HEALTHCARE MGMT - ALL PLANS | FOCUS HEALTHCARE MGMT - ALL PLANS | $6.26 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $6.27 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $6.27 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $6.27 | $112.18 | $89.74 | 2026-07-15 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $6.40 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $6.50 | $158.59 | $118.94 | 2026-07-31 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | CommercialSmallGroupPlans | $6.60 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | KPIF | $6.60 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Blue Option Exchange | $6.78 | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | $6.78 | $20.00 | $12.00 | 2026-07-18 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $6.80 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | ALLEGIANCE DIRECT-ALL PLANS | ALLEGIANCE DIRECT-ALL PLANS | $6.80 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | United | OptionsPPO | $6.83 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $6.89 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $6.89 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UNIFORM MEDICAL PLAN-ALL PLANS | UNIFORM MEDICAL PLAN-ALL PLANS | $6.89 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $6.91 | $215.25 | $109.78 | 2025-01-10 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | HUMANA MCR - ALL PLANS | HUMANA MCR - ALL PLANS | $6.96 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | ALLIED CORE SELF FUND- ALL PLANS | ALLIED CORE SELF FUND- ALL PLANS | $6.96 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | FIRST HEALTH COVENTRY-ALL PLANS | FIRST HEALTH COVENTRY-ALL PLANS | $6.97 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $7.05 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $7.05 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Humana | Choice Care Network | $7.08 | $360.00 | $270.00 | 2026-04-01 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BCBSMT MCR ADV | BCBSMT MCR ADV | $7.10 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | ASURIS NW HEALTH-ALL PLANS | ASURIS NW HEALTH-ALL PLANS | $7.20 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BCBSMT HLTHY KIDS | BCBSMT HLTHY KIDS | $7.20 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | PHYSICIAN HOSP COMM ORG-ALL PLANS | PHYSICIAN HOSP COMM ORG-ALL PLANS | $7.44 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA COMMERCIAL-ALL OTHER PLANS | AETNA COMMERCIAL-ALL OTHER PLANS | $7.44 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $7.44 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.54 | $116.00 | $75.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.54 | $116.00 | $75.40 | 2026-03-18 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $7.60 | $7.83 | $7.05 | 2026-03-09 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | PRODEGI (Y-TEX CORP)- ALL PLANS | PRODEGI (Y-TEX CORP)- ALL PLANS | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BLACKHAWK - ALL PLANS | BLACKHAWK - ALL PLANS | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | MTADA - ALL PLANS | MTADA - ALL PLANS | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BCBSMT PPO | BCBSMT PPO | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | INTERWEST HEALTH PPO - AL PLANS | INTERWEST HEALTH PPO - AL PLANS | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | TOWN PUMP INC- ALL PLANS | TOWN PUMP INC- ALL PLANS | $7.60 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | MURDOCH OIL - ALL PLANS | MURDOCH OIL - ALL PLANS | $7.76 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | RYEGATE PUBLIC SCHOOLS - ALL PLANS | RYEGATE PUBLIC SCHOOLS - ALL PLANS | $7.76 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | TABS (ABS)- ALL PLANS | TABS (ABS)- ALL PLANS | $7.76 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | SAVATREE- ALL PLANS | SAVATREE- ALL PLANS | $7.76 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | HMO | $7.79 | $33.00 | $33.00 | 2026-03-01 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $7.92 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | MOUNTAIN HLTH COOP - ALL PLANS | MOUNTAIN HLTH COOP - ALL PLANS | $7.92 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | FIRST CHOICE HEALTH - ALL PLANS | FIRST CHOICE HEALTH - ALL PLANS | $7.92 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | PACIFICSOURCE NAV | PACIFICSOURCE NAV | $7.92 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | PACIFICSOURCE VOYAGER - ALL OTHER PLANS | PACIFICSOURCE VOYAGER - ALL OTHER PLANS | $7.92 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Johns Hopkins Healthcare | All Products | $7.94 | $8.36 | $7.52 | 2026-07-18 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Care Source | Just 4 Me Medicare | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BCBSMT HEALTHLINK NTWRK | BCBSMT HEALTHLINK NTWRK | $8.00 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| BILLINGS CLINIC BROADWATER Outpatient | BCBSMT CLOSE PLAN NTWRK | BCBSMT CLOSE PLAN NTWRK | $8.00 | $8.00 | $8.00 | 2025-12-11 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $50.00 | $30.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $50.00 | $30.00 | 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.