90882 — Environmental Manipulation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ENVIRONMENTAL MANIPULATION (HCPCS 90882) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90882?code_type=HCPCS
MLA (9th ed.)
“ENVIRONMENTAL MANIPULATION (HCPCS 90882) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90882?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ENVIRONMENTAL MANIPULATION (HCPCS 90882) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90882?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $79–$230 (25th–75th percentile) across 691 hospitals · 1,103 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90882 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $193.00 | $164.05 | 2025-01-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 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 OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $0.31 | — | — | 2025-10-24 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Mlp | $0.67 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Mlp | $0.67 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Mlp | $0.67 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Mlp | $0.67 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Md Do | $0.79 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Md Do | $0.79 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Md Do | $0.79 | $253.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Md Do | $0.79 | $253.00 | — | 2026-10-07 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.86 | $479.00 | — | 2024-12-31 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Professional Mlp | $0.90 | $253.00 | — | 2026-10-07 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $1.27 | — | — | 2025-10-24 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $1.35 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $1.45 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $1.47 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $1.55 | — | — | 2025-10-24 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | $1.58 | — | — | 2026-03-28 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | United Tricare | All Plans | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of MT | All Plans | $1.62 | — | — | 2026-07-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $1.62 | — | — | 2025-10-24 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Humana | ChoiceCare PPO | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Humana | ChoiceCare Medicare | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Pacific Source | All Plans | — | — | — | 2026-07-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $1.76 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.90 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP CHILD HEALTH PLUS [290004] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESSENTIAL (NO MEDICAID) [515503] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155], FIDELIS MEDICAID [1708] | FIDELIS CHILD HEALTH PLUS [515502], FIDELIS MEDICAID [170801] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICAID [1708] | FIDELIS ESSENTIAL (W/ MEDICAID) [170804] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] | MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESS PQ 1 AND 2 [515503] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] | BLUE CHOICE OPTION MEDICAID [170601], | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP ESSENTIAL (NO MEDICAID) [290005] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICAID [1712] | MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID [1708] | FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS [5155] | FIDELIS ESSENTIAL PA 3 AND 4 [170804] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE ESSENTIAL (NO MEDICAID [515812] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MOLINA HEALTHCARE [5189], MOLINA HEALTHCARE [1723] | MOLINA CHILD HEALTH PLUS [518901], MOLINA HEALTHCARE [172301] | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $2.07 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $2.09 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $2.09 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $2.26 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $2.29 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos | $2.29 | — | — | 2026-07-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $2.30 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $2.33 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $2.33 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $2.37 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.45 | — | — | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $2.65 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $2.65 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $2.65 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $2.66 | $271.00 | $271.00 | 2026-06-05 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt - Federal | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | St Of Mt Employees | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $4.65 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $7.31 | — | — | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Medicare Advantage | $8.15 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Univera | — | $9.77 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Blue | $9.77 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Lifetime Benefits | — | $9.77 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| CHILDREN'S SPECIALIZED HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $10.10 | $101.00 | $50.50 | 2026-03-04 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Upmc | Chip | $10.14 | — | — | 2026-07-19 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE SUNFLOWER | 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE AETNA | 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE HEALTHY BLUE | 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 | $10.40 | — | — | 2026-01-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE AMERIGROUP | 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701 | $10.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | KANCARE AMERIGROUP | 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701 | $10.50 | — | — | 2026-01-01 | MRF ↗ |
| FRANCISCAN CHILDREN'S HOSPITAL & REHAB CENTER Outpatient | Mbhp | Commercial | $10.74 | $80.00 | $64.00 | 2026-08-01 | MRF ↗ |
| FRANCISCAN CHILDREN'S HOSPITAL & REHAB CENTER Outpatient | Mbhp | Commercial | $10.91 | $80.00 | $64.00 | 2026-08-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $11.15 | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $11.16 | — | — | 2026-03-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Highmark | $11.25 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Mvp | — | $12.75 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Cigna | Mvp | $12.75 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| NEW ENGLAND BAPTIST HOSPITAL OutpatientFacility | Masshealth | Aco Medicaid Managed Care Plan | $12.99 | — | — | 2026-04-01 | MRF ↗ |
| NEW ENGLAND BAPTIST HOSPITAL OutpatientFacility | Masshealth | Aco Medicaid Managed Care Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $13.49 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $13.49 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $13.49 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $13.49 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $13.49 | — | — | 2026-04-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Pomco | — | $13.50 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Anthem Exchange | $13.95 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Empire Exchange | $13.95 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Empire Managed Medicaid | $13.95 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Aetna Health | Medicare Advantage | $14.58 | $54.00 | $45.90 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Aetna Health | Medicare Advantage | $14.58 | $54.00 | $45.90 | 2025-01-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Multiplan | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Phcs | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Fidelis | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | United Healthcare | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Neic | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Nova Healthcare | — | $15.00 | $15.00 | $4.05 | 2026-10-20 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MH OPTUM [170] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4|FIDELIS CARE NEW YORK|WELLCARE MEDICAID|FIDELIS CHP|MH VALUE OPTIONS OPTION|MH OPTUM COMMUNITY | $15.48 | $207.47 | $134.86 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|HEALTHY NY | $15.48 | $55.92 | $36.35 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4|HIGHMARK MEDICAID|HIGHMARK CHP|WELLCARE MEDICAID|MH VALUE OPTIONS OPTION|MH OPTUM COMMUNITY|MH CARELON (BEACON OPTION) -MEDICAID|YOURCARE BEACON MEDICAID | $15.48 | $55.92 | $36.35 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4|FIDELIS CARE NEW YORK|WELLCARE MEDICAID|FIDELIS CHP|MH VALUE OPTIONS OPTION|MH OPTUM COMMUNITY | $15.48 | $259.34 | $168.57 | 2024-12-30 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $15.66 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $15.80 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $15.80 | — | — | 2026-04-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Optum | Medicaid | $15.92 | $191.00 | — | 2025-07-23 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $15.92 | $207.47 | $134.86 | 2024-12-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MH OPTUM [170] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4|HIGHMARK MEDICAID|HIGHMARK CHP|WELLCARE MEDICAID|MH VALUE OPTIONS OPTION|MH OPTUM COMMUNITY|MH CARELON (BEACON OPTION) -MEDICAID|YOURCARE BEACON MEDICAID | $15.92 | $55.92 | $36.35 | 2024-12-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $15.92 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Cdphp Commercial | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Cdphp Medicaid | Medicaid | — | $48.00 | $33.08 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Cdphp Medicare Advantage | Medicare | — | $48.00 | $33.08 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Bcbs | Managed Medicaid | $16.25 | $58.65 | $29.33 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Both | Bcbs | Managed Medicaid | — | $58.65 | $29.33 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Medicaid | $16.40 | $191.00 | — | 2025-07-23 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $16.44 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $16.47 | $122.00 | $56.12 | 2026-07-31 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Fidelis Medicare | Medicare | — | $48.00 | $33.08 | 2026-07-15 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $16.72 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $16.72 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MyCompass | Medicaid | $17.19 | $191.00 | — | 2025-07-23 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $17.48 | $207.47 | $134.86 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|HEALTHY NY | $17.64 | $55.92 | $36.35 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS ESSENTIAL 1&2|FIDELIS CHP | $17.80 | $55.92 | $36.35 | 2024-12-30 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $17.93 | $122.00 | $56.12 | 2026-07-31 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | — | — | — | — | — | 2026-05-19 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS MN | Medicaid | $18.87 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $18.87 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $19.00 | — | — | 2026-04-01 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | $19.05 | $143.15 | $93.05 | 2024-12-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $19.10 | $65.00 | $39.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $19.10 | $65.00 | $39.00 | 2026-03-06 | 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.