90839 — Psytx Crisis Initial 60 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYTX CRISIS INITIAL 60 MIN (HCPCS 90839) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90839?code_type=HCPCS
MLA (9th ed.)
“PSYTX CRISIS INITIAL 60 MIN (HCPCS 90839) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90839?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PSYTX CRISIS INITIAL 60 MIN (HCPCS 90839) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90839?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $157–$369 (25th–75th percentile) across 1,638 hospitals · 5,320 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
$157
$220 typical
$369
The middle 50% of negotiated facility rates for this procedure, measured across 1,638 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. | $220 |
| Physician fee Estimate national typical Medicare $130 × 1.22 commercial. | $158 |
| Likely subtotal | $378 |
Complete-episode estimate (typical)
~$378
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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.24 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.24 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.49 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.49 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.49 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.49 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.52 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | 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 - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $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 | 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 | 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 - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.58 | $310.00 | $294.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.58 | $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 ↗ |
| 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 ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.36 | $507.00 | $187.59 | 2026-03-31 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | 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 | 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 Both | MEDICAID [5022] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $6.23 | $92.82 | $92.82 | 2026-01-01 | MRF ↗ |
| LINCOLN HOSPITAL Outpatient | UHC HEALTHY OPTIONS | UHC HEALTHY 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 | MOLINA HLTHY OPTIONS | MOLINA HLTHY OPTIONS | $6.84 | $14.61 | $13.15 | 2026-03-09 | 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 Both | UNTD HLTH COMMUNITY PLAN [5034] | 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 [5034] | NMC UNITED HEALTH COMMUNITY | $6.85 | $92.82 | $92.82 | 2026-01-01 | 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 | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT 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 ↗ |
| 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 | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE 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 Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $7.17 | $92.82 | $92.82 | 2026-01-01 | 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 Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $7.47 | $92.82 | $92.82 | 2026-01-01 | 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 ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $8.05 | — | — | 2026-03-18 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MHCP MCAID | BCBS MHCP MCAID | $8.11 | $30.00 | $22.50 | 2026-05-14 | 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 ↗ |
| 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 ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $10.03 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Molina | Covered California | — | $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 | LaSalle Medical Associates | 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 | Inland Empire Health Plan | Covered California | — | $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 | Molina | Medi-Cal | — | $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 | LA Health Care | Medi-Cal | — | $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 | InnovAge | Medicare Advantage/PACE | — | $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 | Inland Faculty Medical Group | Managed 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 | Physician Health Network | Medi-Cal | — | $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 | Wellpath | Commercial | $10.50 | $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 ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $10.79 | $18.00 | $14.40 | 2026-02-23 | 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 | 2026-05-14 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | ECOH NIHP | ECOH NIHP | $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 ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCR ADV MAYO | MEDICA MCR ADV MAYO | $11.40 | $30.00 | $22.50 | 2026-05-14 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $11.40 | $30.00 | $22.50 | 2026-05-14 | 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 ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $45.00 | $45.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB CIGNA HEALTHCARE CARELINK | $11.72 | $165.00 | $165.00 | 2026-03-20 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $12.15 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| 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 HMO | $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 | 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 ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $12.78 | $30.00 | $22.50 | 2026-05-14 | 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 | UHC-ALL OTHER PLANS | UHC-ALL OTHER 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 ↗ |
| 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 ↗ |
| 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 JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.39 | $206.00 | $133.90 | 2026-03-12 | 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 | 2026-03-12 | 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 | 2026-03-12 | 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 | 2026-03-12 | 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 | 2026-03-12 | 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 | 2026-03-12 | 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 JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.39 | $206.00 | $133.90 | 2026-03-12 | 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 | 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 | AETNA COMMERCIAL-ALL OTHER PLANS | AETNA COMMERCIAL-ALL OTHER 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 ↗ |
| LINCOLN HOSPITAL Outpatient | FIRST CHOICE HEALTH- ALL PLANS | FIRST CHOICE HEALTH- ALL PLANS | $14.17 | $14.61 | $13.15 | 2026-03-09 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE - ALL OTHER PLANS | HUMANA CHOICECARE - ALL OTHER PLANS | $14.24 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $14.29 | $30.00 | $22.50 | 2026-05-14 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $14.37 | $221.00 | $143.65 | 2026-03-18 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | HFN - ALL PLANS | HFN - ALL PLANS | $14.76 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $15.12 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $15.20 | $38.00 | $38.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $15.20 | $38.00 | $38.00 | 2026-02-13 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross | Commercial | $15.23 | $21.00 | $21.00 | 2026-02-25 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | FIRST CHOICE IL - ALL PLANS | FIRST CHOICE IL - ALL PLANS | $15.30 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MULTIPLAN PHCS - ALL PLANS | MULTIPLAN PHCS - ALL PLANS | $15.30 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | WPS - ALL PLANS | WPS - ALL PLANS | $15.73 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | PREFERRED PLAN PPO - ALL PLANS | PREFERRED PLAN PPO - ALL PLANS | $16.20 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | INTERPLAN HEALTH - ALL PLANS | INTERPLAN HEALTH - ALL PLANS | $16.20 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | GALAXY - ALL PLANS | GALAXY - ALL PLANS | $16.20 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE - ALL OTHER PLANS | HEALTH ALLIANCE - ALL OTHER PLANS | $16.20 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| DINI-TOWNSEND HOSPITAL AT NNMH Outpatient | — | — | — | $327.51 | $16.38 | 2026-03-30 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | TRUSTMARK - ALL PLANS | TRUSTMARK - ALL PLANS | $16.56 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $17.10 | $38.00 | $38.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $17.10 | $38.00 | $38.00 | 2026-02-13 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MIDLAND CHOICE - ALL PLANS | MIDLAND CHOICE - ALL PLANS | $17.10 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Aetna-Allina | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Managed Medicaid | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Managed Medicaid | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $17.50 | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Triwest Healthcare Alliance | Tricare/Champus | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Humana | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Commercial | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Sanford Health | Medicare Advantage | — | $81.00 | $51.44 | 2026-03-17 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | OSF HEALTHPLANS - ALL PLANS | OSF HEALTHPLANS - ALL PLANS | $18.00 | $18.00 | $14.40 | 2026-02-23 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $18.13 | $49.00 | $24.50 | 2026-01-17 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.33 | $282.00 | $183.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $18.33 | $282.00 | $183.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $18.33 | $282.00 | $183.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $18.33 | $282.00 | $183.30 | 2026-03-12 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.50 | $137.00 | $102.75 | 2026-01-16 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS COMM / BLUE PLUS - ALL OTHER PLANS | BCBS COMM / BLUE PLUS - ALL OTHER PLANS | $18.61 | $30.00 | $22.50 | 2026-05-14 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $274.00 | $191.80 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $19.31 | $297.00 | $193.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $19.31 | $297.00 | $193.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $19.31 | $297.00 | $193.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $19.31 | $297.00 | $193.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $19.31 | $297.00 | $193.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $19.31 | $297.00 | $193.05 | 2026-03-12 | 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.