90847 — Family Psytx W/pt 50 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FAMILY PSYTX W/PT 50 MIN (CPT 90847) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90847?code_type=CPT
MLA (9th ed.)
“FAMILY PSYTX W/PT 50 MIN (CPT 90847) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90847?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“FAMILY PSYTX W/PT 50 MIN (CPT 90847) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90847?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $145–$350 (25th–75th percentile) across 2,038 hospitals · 7,045 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90847 — 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
$145
$206 typical
$350
The middle 50% of negotiated facility rates for this procedure, measured across 2,038 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. | $206 |
| Physician fee Estimate national typical Medicare $103 × 1.22 commercial. | $126 |
| Likely subtotal | $332 |
Complete-episode estimate (typical)
~$332
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 | None | — | — | $271.01 | $135.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $271.01 | $135.50 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.35 | $78.00 | $58.50 | 2026-03-26 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.38 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $0.40 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $0.40 | $551.00 | — | 2026-01-01 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL BothFacility | United Healthcare | All Other Plans | $0.49 | $0.70 | $0.42 | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL BothFacility | Cigna | All Plans | $0.52 | $0.70 | $0.42 | 2026-05-05 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL BothFacility | Aetna | All Other Plans | $0.52 | $0.70 | $0.42 | 2026-05-05 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $0.68 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $0.68 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.69 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $0.69 | $551.00 | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.71 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.71 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.73 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.73 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.75 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.75 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $0.76 | $551.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $0.76 | $551.00 | — | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.90 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.90 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.90 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.90 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.92 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.94 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.94 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.95 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.95 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.97 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.97 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | HMO | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $672.00 | $551.04 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.01 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.01 | $187.00 | $177.65 | 2026-02-20 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $1.24 | $397.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $1.24 | $397.00 | — | 2026-02-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $1.50 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | SelectCare | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | All Products | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem_GHI | Commercial_All Products | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products-Transplant | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Empire Plan NYSHIP | All Products | $1.60 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Multiplan | PPO | $1.70 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $2.00 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $2.00 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $2.00 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | Veterans Affairs Community Care Network (VACCN) | $2.00 | $2.00 | $1.00 | 2025-12-31 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Sanford Health Plan | Medicare Advantage | $2.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Humana Choice | Medicare Advantage | $2.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Sanford Health Plan | Medicare Advantage | $2.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Humana Choice | Medicare Advantage | $2.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | $2.45 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | $2.45 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Commercial | $2.70 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Commercial | $2.70 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Medica | Medicare Advantage | $3.05 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Medica | Medicare Advantage | $3.05 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.24 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Medicaid Expansion | $3.36 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC OutpatientFacility | Blue Cross Blue Shield | Medicaid Expansion | $3.36 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.68 | $400.85 | $240.51 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.68 | $400.85 | $240.51 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.69 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.71 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.71 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.01 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.04 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.04 | $611.06 | $611.06 | 2026-03-18 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield NextBlue | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Medica | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield | Commercial | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Medica | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | First Choice Plus | PPO | $4.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Humana Choice | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | First Choice Plus | PPO | $4.40 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Humana Choice | Medicare Advantage | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield | Medicaid Expansion | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield | Commercial | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Blue Cross Blue Shield | Medicaid Expansion | — | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | United Healthcare RHC | PPO | $4.75 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | United Healthcare RHC | PPO | $4.75 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Sanford Health Plan | PPO | $4.85 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Sanford Health Plan | PPO | $4.85 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | United Healthcare | Commercial | $4.90 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Medica | Commercial | $4.90 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | United Healthcare | Commercial | $4.90 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS INC InpatientFacility | Medica | Commercial | $4.90 | $5.00 | $3.25 | 2026-05-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $5.54 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $5.54 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5.62 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5.67 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $5.67 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $5.72 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $5.72 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $5.72 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $5.73 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $5.78 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $5.78 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $5.78 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $5.78 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $5.83 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $5.87 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $5.89 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $5.89 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARKids | $5.95 | $99.19 | $99.19 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHIP | $5.95 | $99.19 | $99.19 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHPFC | $5.95 | $99.19 | $99.19 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STAR | $5.95 | $99.19 | $99.19 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARPLUS | $5.95 | $99.19 | $99.19 | 2026-03-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $5.95 | $55.35 | $27.68 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6.24 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $6.30 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $6.36 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $6.36 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $6.36 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $6.42 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $6.42 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $6.49 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $6.55 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $6.64 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $6.65 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $6.67 | $98.12 | $98.12 | 2026-04-17 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.70 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $6.70 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $6.70 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $6.77 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6.77 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6.79 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $6.84 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $6.86 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $6.90 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Wellcare | Managed Medicaid | $6.92 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $6.92 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Healthy Blue | Managed Medicaid | $6.92 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Partners | Managed Medicaid | $6.97 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Vaya | Managed Medicaid | $6.99 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | Managed Medicaid | $7.05 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Managed Medicaid | $7.06 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Trillium | Managed Medicaid | $7.13 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Partners | Managed Medicaid | $7.20 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7.25 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Managed Medicaid | $7.32 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Carolina Complete Health | Managed Medicaid | $7.39 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Healthy Blue | Managed Medicaid | $7.39 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Wellcare | Managed Medicaid | $7.39 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | Managed Medicaid | $7.42 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Vaya | Managed Medicaid | $7.46 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $7.61 | $55.35 | $27.68 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $7.75 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $7.81 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | Managed Medicaid | $7.96 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Carolina Complete Health | Managed Medicaid | $7.96 | $55.35 | $27.68 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Healthy Blue | Managed Medicaid | $7.96 | $55.35 | $27.68 | 2025-12-01 | 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.