Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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90832 — Psytx W Pt 30 Minutes

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $175

Usually $107–$247 (25th–75th percentile) across 2,651 hospitals · 8,157 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.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$107 $175 typical $247

The middle 50% of negotiated facility rates for this procedure, measured across 2,651 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 $107–$247.

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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $1,038.87 $519.43 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $1,038.87 $519.43 2024-12-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 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 Veteran's Administration (VA CCN) VA Network $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 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 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 ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 — — 2026-09-01 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 ↗
ST MARY'S MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan 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 ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
Peterson Healthcare And Rehabilitation Hospital Inpatient The Health Plan Medicaid Ppo $1.00 $1.00 — 2026-07-19 MRF ↗
Harper University Hospital OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-02 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 ↗
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 Aetna 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 ↗
HEMPHILL COUNTY HOSPITAL Outpatient Tri-West Federal $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 Wellmed 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 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 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 ↗
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 ↗
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 HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.28 — — 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 ↗
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 Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $2.84 $611.06 $611.06 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 ↗
HEMPHILL COUNTY HOSPITAL Inpatient Aetna - HMO/PPO HMO/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 Baylor Scott & White - Firstcare Commercial 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 2026-06-03 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 UHC HEALTHY OPTIONS UHC HEALTHY OPTIONS $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 ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $3.71 $114.00 $85.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $3.71 $114.00 $85.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $3.71 $114.00 $85.50 2026-10-01 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 VA CCN - ALL PLANS VA CCN - 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 ↗
LINCOLN HOSPITAL Outpatient AETNA MCR ADV AETNA MCR ADV $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 ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $4.41 $183.00 — 2026-08-17 MRF ↗
ROBERT PACKER HOSPITAL Outpatient Bcbs Blue Medicare Hmo/Ppo $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 ↗
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 ↗
ROBERT PACKER HOSPITAL Outpatient Bcbs Medicare Advantage $4.50 $112.18 $89.74 2026-07-15 MRF ↗
ROBERT PACKER HOSPITAL Outpatient Freedom Blue 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 ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $4.85 $183.00 — 2026-08-17 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 Amerihealth Managed Medicaid — $29.84 $23.87 2026-07-15 MRF ↗
TROY COMMUNITY HOSPITAL Both Emblem Medicare Advantage $5.37 $29.84 $23.87 2026-07-15 MRF ↗
TROY COMMUNITY HOSPITAL Both Health Partners 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 Both Fidelis Managed Medicaid — $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 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 Bcbs Blue Medicare Hmo/Ppo $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 ↗
LINCOLN HOSPITAL Outpatient CIGNA - ALL PLANS CIGNA - ALL PLANS $5.97 $7.83 $7.05 2026-03-09 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Better Health Medicaid Plans $5.98 $300.00 $99.00 2026-07-15 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Anthem Healthkeepers Medicaid Plans $5.98 $300.00 $99.00 2026-07-15 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Better Health Medicaid Plans $5.98 $300.00 $99.00 2026-09-21 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Anthem Healthkeepers Medicaid Plans $5.98 $300.00 $99.00 2026-09-21 MRF ↗
RED BUD REGIONAL HOSPITAL InpatientFacility Aetna Medicare Advantage — $610.00 $158.60 2026-02-18 MRF ↗
DEQUINCY MEMORIAL HOSPITAL Both CIGNA CIGNA IP $5.99 $110.00 — 2026-01-15 MRF ↗
DEQUINCY MEMORIAL HOSPITAL Both CIGNA CIGNA OP $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 ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Sentara Medicaid — $6.04 $300.00 $99.00 2026-09-21 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 ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both United Healthcare Medicaid $6.10 $300.00 $99.00 2026-09-21 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Molina Medicaid $6.16 $300.00 $99.00 2026-07-15 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Molina Medicaid $6.16 $300.00 $99.00 2026-09-21 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 KPIF $6.60 $33.00 $33.00 2026-03-01 MRF ↗
HCA HEALTHONE ROSE Outpatient Kaiser CommercialSmallGroupPlans $6.60 $33.00 $33.00 2026-03-01 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $6.63 $275.00 — 2026-08-17 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 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 ↗
LINCOLN HOSPITAL Outpatient UHC-ALL OTHER PLANS UHC-ALL OTHER 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 ALLIED CORE SELF FUND- ALL PLANS ALLIED CORE SELF FUND- ALL PLANS $6.96 $8.00 $8.00 2025-12-11 MRF ↗
BILLINGS CLINIC BROADWATER Outpatient HUMANA MCR - ALL PLANS HUMANA MCR - 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 ↗
BILLINGS CLINIC BROADWATER Outpatient BCBSMT HLTHY KIDS BCBSMT HLTHY KIDS $7.20 $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 ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $7.29 $275.00 — 2026-08-17 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 ↗
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 ↗
COLUMBIA MEMORIAL HOSPITAL BothFacility WASHINGTON STATE DSHS - Medicaid WASHINGTON STATE DSHS - Medicaid $7.50 $49.00 $39.20 2026-01-05 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 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 ↗
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 [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $7.54 $116.00 $75.40 2026-06-10 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 MTADA - ALL PLANS MTADA - ALL 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 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 BCBSMT PPO BCBSMT PPO $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 INTERWEST HEALTH PPO - AL PLANS INTERWEST HEALTH PPO - AL PLANS $7.60 $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 ↗
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 TABS (ABS)- ALL PLANS TABS (ABS)- 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 ↗
HCA HEALTHONE ROSE Outpatient Kaiser HMO $7.79 $33.00 $33.00 2026-03-01 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $7.81 $275.00 — 2026-08-17 MRF ↗
BILLINGS CLINIC BROADWATER Outpatient PACIFICSOURCE NAV PACIFICSOURCE NAV $7.92 $8.00 $8.00 2025-12-11 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 FIRST CHOICE HEALTH - ALL PLANS FIRST CHOICE HEALTH - 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 PACIFICSOURCE VOYAGER - ALL OTHER PLANS PACIFICSOURCE VOYAGER - ALL OTHER PLANS $7.92 $8.00 $8.00 2025-12-11 MRF ↗

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