90839 — Psytx Crisis Initial 60 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYTX CRISIS INITIAL 60 MIN (CPT 90839) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90839?code_type=CPT
MLA (9th ed.)
“PSYTX CRISIS INITIAL 60 MIN (CPT 90839) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90839?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PSYTX CRISIS INITIAL 60 MIN (CPT 90839) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90839?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $153–$362 (25th–75th percentile) across 1,925 hospitals · 4,718 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90839 — 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
$153
$213 typical
$362
The middle 50% of negotiated facility rates for this procedure, measured across 1,925 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. | $213 |
| Physician fee Estimate national typical Medicare $130 × 1.22 commercial. | $158 |
| Likely subtotal | $371 |
Complete-episode estimate (typical)
~$371
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 $153–$362.
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 | — | — | — | $734.78 | $367.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $734.78 | $367.39 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.35 | $98.00 | $73.50 | 2026-03-26 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $377.00 | — | 2026-07-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Innovation | Self Insured | $0.66 | $1,341.00 | $670.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Innovation | Exchange | $0.66 | $1,341.00 | $670.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Innovation | Exchange | $0.66 | $1,341.00 | $670.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Innovation | Self Insured | $0.66 | $1,341.00 | $670.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Innovation | Exchange | $0.66 | $1,341.00 | $670.50 | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Innovation | Self Insured | $0.66 | $1,341.00 | $670.50 | 2026-08-01 | 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.21 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.21 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.24 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.24 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.32 | $734.00 | $159.97 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.55 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.55 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.61 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.61 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.67 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.67 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.94 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.94 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.35 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.37 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.37 | — | — | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $3.52 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.64 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.67 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.67 | — | — | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.69 | $198.00 | $37.62 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.69 | $330.00 | $62.70 | 2026-05-20 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $3.85 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $3.85 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $3.85 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $3.85 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $3.92 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $3.92 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $3.96 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $3.96 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $4.16 | — | — | 2026-07-15 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.36 | $507.00 | $187.59 | 2026-03-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $4.57 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $4.92 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $5.38 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $5.42 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $5.42 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $5.87 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $5.98 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $6.03 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $6.03 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $6.14 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | MEDICAID [5022] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA HLTHY OPTIONS | MOLINA HLTHY OPTIONS | $6.84 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMBETTER MCAID - ALL PLANS | AMBETTER MCAID - ALL PLANS | $6.84 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC HEALTHY OPTIONS | UHC HEALTHY OPTIONS | $6.84 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $6.86 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $6.86 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $6.86 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $6.89 | $703.00 | $703.00 | 2026-06-05 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $7.25 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.38 | $326.00 | $326.00 | 2026-02-13 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $7.47 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $7.47 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $7.47 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $8.05 | — | — | 2026-03-18 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | INDIAN HLTH SERVICES - ALL PLANS | INDIAN HLTH SERVICES - ALL PLANS | $8.18 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $8.18 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | TRICARE HEALTHNET - ALL PLANS | TRICARE HEALTHNET - ALL PLANS | $8.18 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $8.18 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $8.18 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $9.03 | $281.35 | $143.49 | 2025-01-10 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $10.03 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $10.03 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Amerihealth | Caritas Chc | $10.44 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Amerihealth | Managed Medicaid | $10.44 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | InnovAge | Medicare Advantage/PACE | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medicare Advantage | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Triwest | Medicare Replacement | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | One Legacy | Commercial | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Physician Health Network | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Faculty Medical Group | Medicare Advantage/Commercial | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LaSalle Medical Associates | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Kaiser Senior | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Wellpath | Commercial | $10.50 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | LA Health Care | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Covered California | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Alpha Care | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medi-Cal | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Correctional Health Partners | Medicare Replacement | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Covered California | — | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $10.71 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.71 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $10.71 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $10.71 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $10.79 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $10.79 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Cigna | All Commercial Products | $11.10 | $16.72 | $15.05 | 2026-07-18 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $11.15 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $11.29 | $30.00 | $22.50 | 2026-06-26 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | NIHP EMPLOY - ALL PLANS | NIHP EMPLOY - ALL PLANS | $11.34 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | NIHP EMPLOY - ALL PLANS | NIHP EMPLOY - ALL PLANS | $11.34 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | ECOH NIHP | ECOH NIHP | $11.34 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | ECOH NIHP | ECOH NIHP | $11.34 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCR ADV MAYO | MEDICA MCR ADV MAYO | $11.40 | $30.00 | $22.50 | 2026-06-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $11.40 | $30.00 | $22.50 | 2026-06-26 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MOLINA EXCHANGE-ALL OTHER PLANS | MOLINA EXCHANGE-ALL OTHER PLANS | $11.62 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | FOCUS HEALTHCARE MGMT - ALL PLANS | FOCUS HEALTHCARE MGMT - ALL PLANS | $11.69 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | QUARTZ - ALL OTHER PLANS | QUARTZ - ALL OTHER PLANS | $11.70 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | QUARTZ - ALL OTHER PLANS | QUARTZ - ALL OTHER PLANS | $11.70 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Amerihealth | Caritas Chc | $11.72 | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Amerihealth | Managed Medicaid | $11.72 | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $45.00 | $45.00 | 2026-03-20 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $12.15 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $12.15 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS HMO | $12.23 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS SPIRIT | $12.23 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS POS | $12.23 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS PPO | $12.23 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | ECOH - ALL OTHER PLANS | ECOH - ALL OTHER PLANS | $12.24 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | ECOH - ALL OTHER PLANS | ECOH - ALL OTHER PLANS | $12.24 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | NORTHERN IL HP - ALL PLANS | NORTHERN IL HP - ALL PLANS | $12.42 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | NORTHERN IL HP - ALL PLANS | NORTHERN IL HP - ALL PLANS | $12.42 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Kaiser Foundation | Commercial | $12.45 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $12.65 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $12.65 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $12.78 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Cdphp | Medicare Advantage | $12.78 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Mvp | Medicare Advantage | $12.78 | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $12.78 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Tricare | Medicare Advantage | $12.78 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Amerihealth | Managed Medicaid | — | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Geisinger | Managed Medicaid | — | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Health Partners | Managed Medicaid | — | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $12.78 | $30.00 | $22.50 | 2026-06-26 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $12.78 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $12.78 | $71.00 | $56.80 | 2026-07-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $12.86 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UNIFORM MEDICAL PLAN-ALL PLANS | UNIFORM MEDICAL PLAN-ALL PLANS | $12.86 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $12.86 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $12.96 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | FIRST HEALTH COVENTRY-ALL PLANS | FIRST HEALTH COVENTRY-ALL PLANS | $13.00 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | HEALTH MANAGEMENT NETWORK-ALL PLANS | HEALTH MANAGEMENT NETWORK-ALL PLANS | $13.15 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $13.15 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $13.23 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.39 | $206.00 | $133.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.39 | $206.00 | $133.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.39 | $206.00 | $133.90 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-06-04 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $13.42 | $234.69 | $187.75 | 2026-07-15 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | ASURIS NW HEALTH-ALL PLANS | ASURIS NW HEALTH-ALL PLANS | $13.44 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | AETNA COMMERCIAL-ALL OTHER PLANS | AETNA COMMERCIAL-ALL OTHER PLANS | $13.88 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | PHYSICIAN HOSP COMM ORG-ALL PLANS | PHYSICIAN HOSP COMM ORG-ALL PLANS | $13.88 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $13.88 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $14.04 | $18.00 | $14.40 | 2026-02-23 | 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.