90945 — Dialysis One Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DIALYSIS ONE EVALUATION (CPT 90945) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90945?code_type=CPT
MLA (9th ed.)
“DIALYSIS ONE EVALUATION (CPT 90945) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90945?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DIALYSIS ONE EVALUATION (CPT 90945) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90945?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $431–$1,370 (25th–75th percentile) across 2,532 hospitals · 6,976 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90945 — 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
$431
$750 typical
$1,370
The middle 50% of negotiated facility rates for this procedure, measured across 2,532 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. | $750 |
| Physician fee Estimate national typical Medicare $77 × 1.22 commercial. | $94 |
| Likely subtotal | $844 |
Complete-episode estimate (typical)
~$844
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 $431–$1,370.
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 | — | — | — | $1,280.07 | $640.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,280.07 | $640.04 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $3,640.00 | $2,730.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $3,493.00 | $2,619.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $3,640.00 | $2,730.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $3,493.00 | $2,619.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $3,493.00 | $2,619.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $3,640.00 | $2,730.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $4,434.00 | $3,325.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $905.00 | — | 2026-07-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.64 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.69 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.72 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,560.00 | $2,670.00 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $22,619.10 | $14,702.41 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $22,619.10 | $14,702.41 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $4,292.00 | $3,219.00 | 2026-05-20 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $1.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,493.00 | $2,619.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,640.00 | $2,730.00 | 2026-09-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Sanford Medicaid Expansion (862) | — | $1.65 | $5.00 | — | 2026-07-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | $1.73 | $2,345.00 | $1,758.75 | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.86 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.86 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.86 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.91 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid South Dakota 190 | — | $1.95 | $5.00 | — | 2026-07-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.96 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.01 | $503.00 | $477.85 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Cigna | Cigna - HMO | $2.32 | $4,170.00 | $3,127.50 | 2026-04-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Special Needs Medica Complete Solution 971 | — | $2.36 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $2.36 | $5.00 | — | 2026-07-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medicare | Medicare | $2.38 | $4,170.00 | $3,127.50 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.46 | $502.00 | $476.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.46 | $502.00 | $476.90 | 2026-02-20 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.49 | — | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $2.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Medicare Advantage | — | $2.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.51 | $502.00 | $476.90 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.58 | $1,433.00 | $418.98 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.61 | $502.00 | $476.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.71 | $502.00 | $476.90 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Medicare Advantage | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Amarillo | Tricare West 441 | — | $3.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $3.18 | $710.00 | $710.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.18 | $2,005.00 | $2,005.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.18 | $710.00 | $710.00 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Hmo 745 (Includes Aetna) | — | $3.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Ppo 480 (Includes Aetna) | — | $4.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredonecommunity Health Plan (Pchp)Hmo (Includes Aetna) 745 Preferred One Insurance Co (Pic) (Includes Aetna) 480 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Tricare West (Healthnet) 232 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredone Adm Svc (Pas) Ppo (Includes Aetna) 772 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Multiplan Complimentary 737 Multiplan, Value Point | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) (Cigna) | — | $4.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Multiplan Complimentary 737 Multiplan, Value Point | — | $4.25 | $5.00 | — | 2026-07-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $4.29 | $3,791.00 | $2,843.25 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.46 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.49 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.49 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.88 | $208.00 | $208.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.88 | $208.00 | $208.00 | 2026-02-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.11 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Kentfield Hospital | First Health , Affordable, Ccn, Coventry 700 | — | $5.12 | $8.00 | — | 2026-07-30 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.15 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.15 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Kentfield Hospital | Tricare Healthnet 232 | — | $5.20 | $8.00 | — | 2026-07-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.57 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Kentfield Hospital | Tricare 369 | — | $5.60 | $8.00 | — | 2026-07-30 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.60 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.60 | $1,809.03 | $1,809.03 | 2026-03-18 | MRF ↗ |
| Kentfield Hospital | Multiplan Complimentary 737 Multiplan, Value Point | — | $6.40 | $8.00 | — | 2026-07-30 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $7.10 | $208.00 | $208.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $7.10 | $208.00 | $208.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $7.10 | $208.00 | $208.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $7.10 | $208.00 | $208.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $7.10 | $208.00 | $208.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $7.10 | $208.00 | $208.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $7.10 | $208.00 | $208.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $7.10 | $208.00 | $208.00 | 2026-06-03 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $7.22 | $1,712.00 | $1,369.60 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $7.22 | $1,712.00 | $1,369.60 | 2026-03-26 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $7.60 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Medicare Plus Blue | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Care Network | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Northern Michigan Mennonite Group | Commercial | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Michigan Amish Medical Board | Commercial | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $7.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $8.25 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | The Maples Skilled Nursing | Commercial | $8.25 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meadow Brook | Commercial | $8.28 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Medicare Advantage | $8.28 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $8.58 | $3,791.00 | $2,843.25 | 2026-04-01 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Humana | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Northern Michigan Mennonite Group | Commercial | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Aetna | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Michigan Amish Medical Board | Commercial | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Medicare Blue Plus | Medicare Advantage | $8.74 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| AVITA ONTARIO Both | Mount Carmel | Medicare Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Buckeye | Medicare Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Aetna | Medicare Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Traditional Medicare | Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Medicare Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Humana | Medicare Outpatient | $8.75 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $8.77 | $364.00 | — | 2026-08-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Medicare Advantage | $8.91 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| AVITA ONTARIO Both | Medical Mutual | Medicare Outpatient | $8.93 | $1,845.00 | $1,568.25 | 2026-07-15 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Care Network | Medicare Advantage | $8.97 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $9.21 | $920.54 | $690.40 | 2026-07-31 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Hospice of Michigan | Commercial | $9.60 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $9.65 | $364.00 | — | 2026-08-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Blue Cross | PPO/Traditional/HMO/Blue Care Network Commercial | $9.99 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $10.02 | $1,001.54 | $751.16 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $11.05 | $920.54 | $690.40 | 2026-07-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross PPO/Traditional/HMO/Blue Care Network | Commercial | $11.11 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Munson Hospice | Commercial | $11.20 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $11.75 | $87.00 | $65.25 | 2026-01-16 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $11.97 | $920.54 | $690.40 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $12.02 | $1,001.54 | $751.16 | 2026-07-17 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $12.35 | $190.00 | $123.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.35 | $190.00 | $123.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.35 | $190.00 | $123.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $12.35 | $190.00 | $123.50 | 2026-03-18 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $12.75 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | HAP (Health Alliance Plan) | Commercial | $12.80 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Nomi Health | Commercial | $12.80 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Enterprise Group Planning/Employee Benefit Plan | Commercial | $12.80 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | ASR Physicians Care Network | Commercial | $12.80 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Commercial | $12.82 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $12.89 | $920.54 | $690.40 | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $12.93 | $1,292.68 | $969.51 | 2026-07-31 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Aetna | Commercial | $12.96 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $13.02 | $1,001.54 | $751.16 | 2026-08-01 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Employee Benefits Logistics | Commercial | $13.18 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Commercial | $13.42 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $13.47 | $1,346.81 | $1,010.11 | 2026-07-31 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $13.52 | $643.77 | $482.83 | 2026-08-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - Medi-Cal | $13.55 | $3,791.00 | $2,843.25 | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Provider Network of America/Hawaii Mainland Administrative Group Health | Commercial | $13.60 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Cofinity | Commercial | $13.60 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | Commercial | $13.60 | $16.00 | $13.60 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Hospice of Michigan | Commercial | $13.80 | $23.00 | $19.55 | 2026-04-17 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | BCBS | MCRPPO | $13.90 | $407.60 | $407.60 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | BCBS | MCRHMO | $13.90 | $407.60 | $407.60 | 2026-03-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | McLaren Health Plan | Commercial | $13.97 | $25.00 | $21.25 | 2026-04-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $14.02 | $1,001.54 | $751.16 | 2026-08-01 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM MEDICAID INDIANA [2212] | HB XR INDIANA MEDICAID | $14.25 | $881.00 | $528.60 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA MEDICAID IN [3103] | HB XR INDIANA MEDICAID | $14.25 | $881.00 | $528.60 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MEDICAID INDIANA [2051] | HB XR INDIANA MEDICAID | $14.25 | $881.00 | $528.60 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MDWISE INDIANA MEDICAID [2214] | HB XR INDIANA MEDICAID | $14.25 | $881.00 | $528.60 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | CARESOURCE [2031] | HB XR INDIANA MEDICAID | $14.25 | $881.00 | $528.60 | 2025-12-19 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $1,752.00 | $1,051.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $3,106.00 | $1,863.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $1,894.00 | $1,136.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $1,866.00 | $1,119.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $1,866.00 | $1,119.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $3,106.00 | $1,863.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $1,894.00 | $1,136.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | $2,614.00 | $1,568.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $14.43 | — | — | 2026-01-01 | MRF ↗ |
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