90870 — Electroconvulsive Therapy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELECTROCONVULSIVE THERAPY (HCPCS 90870) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90870?code_type=HCPCS
MLA (9th ed.)
“ELECTROCONVULSIVE THERAPY (HCPCS 90870) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90870?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ELECTROCONVULSIVE THERAPY (HCPCS 90870) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90870?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $469–$1,143 (25th–75th percentile) across 1,884 hospitals · 4,235 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90870 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$469
$701 typical
$1,143
The middle 50% of negotiated facility rates for this procedure, measured across 1,884 hospitals. The the surgeon's fee 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. | $701 |
| Surgeon (professional fee) Estimate national typical Medicare $99 × 1.22 commercial. | $120 |
| Likely subtotal | $821 |
Surgical episode (typical)
~$821
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 $469–$1,143.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional 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 |
|---|---|---|---|---|---|---|---|
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | $0.22 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | $0.22 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $2,757.00 | $2,067.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $2,757.00 | $2,067.75 | 2026-09-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Molina | Molina Passport KY MCD | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | WellCare of KY | WellCare of KY Pediatric | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Molina | Molina Passport KY MCD Adult | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Molina | Molina Passport KY MCD | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Molina | Molina Passport KY MCD | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Pediatric | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health Adult | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | $0.32 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health Pediatric | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Molina | Molina Passport KY MCD Pediatric | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | $0.32 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $2,757.00 | $2,067.75 | 2026-09-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Dental Health Alliance | Dental Health Alliance | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Met Life | Met Life Dental | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Basix | Basix Dental Savings | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Dental PPO | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Met Life | Met Life Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Dental PPO | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBS of TN | BCBS of TN Preferred Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Met Life | Met Life Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Superior Vision | Superior Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Behavioral Health | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Superior Vision | Superior Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Basix | Basix Dental Savings | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Dental Health Alliance | Dental Health Alliance | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | EyeMed | EyeMed Core | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Dental PPO | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Superior Vision | Superior Vision Plan | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Delta Dental | Delta Dental GP Premier MPA | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | VSP | VSP - Vanderbilt University Employees | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Met Life | Met Life Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Davis Vision | Davis Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Dental Health Alliance | Dental Health Alliance | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | VSP | VSP - Vanderbilt University Employees | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | VSP | VSP - Vanderbilt University Employees | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Dental Health Alliance | Dental Health Alliance | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Davis Vision | Davis Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UnitedConcordia | UnitedConcordia Advantage Plus | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBS of TN | BCBS of TN Preferred Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Basix | Basix Dental Savings | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Block Vision | Block Vision | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Block Vision | Block Vision | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UnitedConcordia | UnitedConcordia Advantage Plus | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | EyeMed | EyeMed Core | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Block Vision | Block Vision | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Behavioral Health | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Superior Vision | Superior Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBS of TN | BCBS of TN Preferred Dental | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | Blue Cross Blue Shield TN Commercial Behavioral Health | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Davis Vision | Davis Vision Plan | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Dental | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Delta Dental | Delta Dental GP PPO MPA | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | VSP | VSP - Vanderbilt University Employees | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UnitedConcordia | UnitedConcordia Advantage Plus | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | EyeMed | EyeMed Core | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Block Vision | Block Vision | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UnitedConcordia | UnitedConcordia Advantage Plus | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | EyeMed | EyeMed Core | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBS of TN | BCBS of TN Preferred Dental | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Dental PPO | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Basix | Basix Dental Savings | $0.36 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Davis Vision | Davis Vision Plan | $0.36 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health | $0.50 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | $0.50 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | $0.50 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | $0.51 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN | $0.51 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | $0.51 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $0.52 | $2,721.00 | $2,040.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $0.52 | $2,721.00 | $2,040.75 | 2026-04-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | $0.56 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred | $0.56 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | $0.56 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health | $0.58 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred | $0.58 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health | $0.59 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred | $0.59 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Local Plus Adult | $0.60 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Local Plus Pediatric | $0.60 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN | $0.60 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN | $0.61 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna OAP | $0.62 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Local Plus | $0.62 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | $0.62 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Adult | $0.62 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,668.00 | — | 2026-07-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial | $0.62 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Local Plus | $0.63 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna OAP | $0.63 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna OAP Adult | $0.63 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna OAP Pediatric | $0.63 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Local Plus | $0.63 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna OAP | $0.63 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial | $0.65 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial | $0.66 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Innovation | Self Insured | $0.66 | $2,116.00 | $1,058.00 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Innovation | Exchange | $0.66 | $2,116.00 | $1,058.00 | 2026-08-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Magellan | Magellan Behavioral Health | $0.66 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Innovation | Self Insured | $0.66 | $2,116.00 | $1,058.00 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Innovation | Self Insured | $0.66 | $2,116.00 | $1,058.00 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Innovation | Exchange | $0.66 | $2,116.00 | $1,058.00 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Innovation | Exchange | $0.66 | $2,116.00 | $1,058.00 | 2026-07-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | PHCS | PHCS | $0.74 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | PHCS | PHCS Pediatric | $0.74 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | PHCS | PHCS | $0.74 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | PHCS | PHCS Adult | $0.74 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | PHCS | PHCS | $0.74 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | NovaNet | NovaNet | $0.88 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | NovaNet | NovaNet Adult | $0.88 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Evernorth (CIGNA) Behavioral Health | $0.88 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | NovaNet | NovaNet Pediatric | $0.88 | $1.10 | $0.59 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | NovaNet | NovaNet | $0.88 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | NovaNet | NovaNet | $0.88 | $1.10 | $0.32 | 2025-10-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | $1.00 | $2,721.00 | $2,040.75 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $1.00 | $1.00 | $1.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $1.00 | $1.00 | $1.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $1.00 | $1.00 | $1.00 | 2025-04-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $1.00 | $1.00 | $1.00 | 2025-04-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $2,757.00 | $2,067.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | $1.00 | $2,721.00 | $2,040.75 | 2026-04-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.27 | $703.00 | $530.77 | 2024-12-31 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | $1.30 | $2,721.00 | $2,040.75 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | $1.30 | $2,721.00 | $2,040.75 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,881.00 | $940.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.37 | $1,870.00 | $530.77 | 2024-12-31 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $4.00 | $18.00 | $13.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $4.00 | $18.00 | $13.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $4.00 | $18.00 | $13.00 | 2026-05-15 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $4.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $5.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Aetna | Commercial | $5.00 | $11.00 | $8.00 | 2026-06-02 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $5.00 | $50.00 | $50.00 | 2025-11-06 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Medicare Advantage | $5.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $5.08 | — | — | 2026-07-15 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $6.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $6.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Essentials | $6.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | United Healthcare | Commercial | $6.00 | $9.00 | $9.00 | 2026-09-21 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.22 | $1,363.00 | $1,363.00 | 2026-02-13 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $6.61 | $1,321.00 | $1,321.00 | 2026-06-05 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Blue Cross Blue Shield of Texas | Commercial | $7.00 | $9.00 | $9.00 | 2026-09-21 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $7.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Medicare Advantage | $7.00 | $13.00 | $11.00 | 2026-04-28 | MRF ↗ |
| CRANE COUNTY HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $7.00 | $11.00 | $8.00 | 2026-04-03 | MRF ↗ |
| CRANE COUNTY HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $7.00 | $11.00 | $8.00 | 2026-04-03 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Cigna | Commercial | $7.00 | $9.00 | $9.00 | 2026-09-21 | MRF ↗ |
| CRANE COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Medicare Advantage | $7.00 | $11.00 | $8.00 | 2026-04-03 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | MultiPlan | PPO | $8.00 | $9.00 | $7.00 | 2026-05-05 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | Commercial | $8.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $8.00 | $50.00 | $50.00 | 2025-11-06 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $8.00 | $12.00 | $9.00 | 2026-04-03 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $8.00 | $11.00 | $8.00 | 2026-06-02 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $8.59 | $1,321.00 | $1,321.00 | 2026-06-05 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | PPO | $9.00 | $11.00 | $8.00 | 2026-06-02 | 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.