92522 — Evaluate Speech Production
Cite this view
HANK Price Transparency. (n.d.). EVALUATE SPEECH PRODUCTION (CPT 92522) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92522?code_type=CPT
“EVALUATE SPEECH PRODUCTION (CPT 92522) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92522?code_type=CPT. Accessed .
“EVALUATE SPEECH PRODUCTION (CPT 92522) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92522?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $122–$360 (25th–75th percentile) across 2,977 hospitals · 10,281 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92522 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 2,977 hospitals. Surgeon & anesthesia 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. | $224 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $112 × 1.22 commercial. | $137 |
| Likely subtotal | $361 |
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $503.67 | $251.84 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $503.67 | $251.84 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.29 | $458.00 | $343.50 | 2026-03-26 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Kaiser | Kaiser - HMO | $0.49 | $475.00 | $356.25 | 2026-04-01 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Caresource Medicaid Behavioral Health | Manage Medicaid | $0.75 | $250.56 | $92.71 | 2024-12-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Summit Mediciad | Manage Medicaid | $1.00 | $250.56 | $92.71 | 2024-12-26 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Amerigroup | Medicaid/Peachcare | $1.00 | $490.00 | $318.50 | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $408.00 | $334.56 | 2025-11-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Total Care | Manage Medicaid | $1.00 | $250.56 | $92.71 | 2024-12-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,413.39 | $918.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,413.39 | $918.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Medicaid Passe | $1.00 | $250.56 | $92.71 | 2024-12-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $815.00 | $668.30 | 2025-11-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Access Health/Empower SVCS ADV Medicaid | Manage Medicaid | $1.27 | $250.56 | $92.71 | 2024-12-26 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.38 | $232.00 | $174.00 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.79 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.79 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.79 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.84 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.89 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.94 | $485.00 | $460.75 | 2026-02-20 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.05 | $387.00 | — | 2025-06-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.45 | $510.00 | $484.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.45 | $510.00 | $484.50 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.47 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.47 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.47 | $475.45 | $475.45 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.50 | $510.00 | $484.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.50 | $510.00 | $484.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.60 | $510.00 | $484.50 | 2026-02-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.83 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.83 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.83 | $475.45 | $475.45 | 2026-03-18 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | BCBS [10301] | All BC HMO UM [11] Plans | $2.87 | $655.00 | $655.00 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.87 | $586.00 | $556.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.87 | $586.00 | $556.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.93 | $586.00 | $556.70 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.02 | $294.86 | $176.92 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.02 | $294.86 | $176.92 | 2025-08-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.05 | $586.00 | $556.70 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.06 | $294.86 | $176.92 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.06 | $294.86 | $176.92 | 2025-08-11 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.08 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.08 | $475.45 | $475.45 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.08 | $665.39 | $665.39 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.16 | $586.00 | $556.70 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $3.32 | $708.00 | $261.96 | 2026-03-31 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | PPO | $3.34 | $118.56 | $71.14 | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Other | $3.34 | $118.56 | $71.14 | 2026-03-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.62 | $348.40 | $348.40 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $3.69 | $362.00 | $235.30 | 2026-03-14 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | CORVEL workers Comp | Corvel Workers Compensation | $4.07 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $4.12 | $404.00 | $262.60 | 2026-03-14 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | Self Pay | Self Pay | $4.18 | $22.00 | — | 2026-03-31 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | ZELIS Healthcare (FKA) Workers Comp | Zelis Healthcare Workers Compensation | $4.30 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | PRIME HEALTH SERVICES, Workers Comp | Prime Health Services Workers Compensation | $4.39 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $4.39 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | AMERICAS CHOICE(ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $4.39 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Multiplan Workers Comp | Multiplan Workers Compensation | $4.39 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | PROVIDER SELECT Workers Comp | Provider Select Workers Compensation | $4.48 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $4.52 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Worker compensation | Workers Compensation | $4.52 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | Blue Precision | $4.54 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $4.56 | $447.00 | $290.55 | 2026-03-14 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | HMO | $4.88 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $4.99 | $489.00 | $317.85 | 2026-03-14 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $5.08 | $475.45 | $475.45 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.24 | $283.00 | $283.00 | 2026-02-13 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $5.42 | $531.00 | $345.15 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $5.85 | $574.00 | $373.10 | 2026-03-14 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Keenan | Keenan | $6.00 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $6.16 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | Blue Choice | $6.16 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $6.28 | $616.00 | $400.40 | 2026-03-14 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.40 | $320.00 | — | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $6.67 | $22.00 | $4.18 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $6.72 | $659.00 | $428.35 | 2026-03-14 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.06 | $188.00 | $75.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.06 | $188.00 | $75.20 | 2026-05-22 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | Cigna | PPO | $7.22 | $22.00 | — | 2026-03-31 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Priority Health | Priority Health HMO And PPO | $8.00 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $8.07 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $8.07 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | BCBS IL | HMO | $8.39 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | BCBS IL | PPO | $8.39 | $22.00 | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | BCBS IL | Blue Precision | $8.39 | $22.00 | — | 2026-03-31 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Mclaren Health Plan | Mclaren Health Plan Commercial | $9.00 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $9.52 | $866.00 | $433.00 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MMMC | $9.52 | $866.00 | $433.00 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $9.52 | $866.00 | $433.00 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $9.52 | $866.00 | $433.00 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MDMC | $9.52 | $866.00 | $433.00 | 2026-03-20 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.56 | $147.00 | $95.55 | 2026-03-12 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $10.00 | $10.00 | $8.00 | 2026-04-01 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $10.05 | $22.00 | $4.18 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | Blue Choice | $10.16 | $22.00 | $4.18 | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | Aetna | ASA | $10.63 | $22.00 | — | 2026-03-31 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $10.82 | $15.45 | $10.82 | 2026-02-02 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $11.34 | $157.53 | $157.53 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $11.34 | $157.53 | $157.53 | 2026-03-01 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $11.59 | $15.45 | $10.82 | 2026-02-02 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $11.96 | $184.00 | $119.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $11.96 | $184.00 | $119.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $11.96 | $184.00 | $119.60 | 2026-03-12 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $12.05 | $154.44 | $154.44 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $12.05 | $154.44 | $154.44 | 2024-10-01 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $12.09 | $186.00 | $120.90 | 2026-03-12 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MRMC | $12.40 | $866.00 | $433.00 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MRMC | $12.40 | $866.00 | $433.00 | 2026-03-21 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Healthlink | HMO/PPO/Traditional | $12.44 | $123.00 | $110.70 | 2026-03-03 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $12.60 | $157.53 | $157.53 | 2026-03-01 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $12.65 | $22.00 | $4.18 | 2026-03-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $12.69 | $94.00 | $70.50 | 2026-01-16 | MRF ↗ |
| Cobalt Rehabilitation Hospital Clarksville OutpatientFacility | Humana | Managed Medicaid | — | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Cobalt Rehabilitation Hospital Clarksville OutpatientFacility | Aetna | Medicare Advantage | $12.90 | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso OutpatientFacility | Superior Health Ambetter Core | Market Place EPO | — | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso OutpatientFacility | Aetna | Medicare Advantage | $12.90 | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso OutpatientFacility | Aetna | Medicare Advantage | $12.90 | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of El Paso OutpatientFacility | Superior Health Ambetter Core | Market Place EPO | — | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| Cobalt Rehabilitation Hospital Clarksville OutpatientFacility | CareSource Kentucky | Exchange | — | $64.50 | $64.50 | 2025-09-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $612.37 | $398.04 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.26 | $204.00 | $132.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.26 | $204.00 | $132.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.26 | $204.00 | $132.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.33 | $205.00 | $133.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.33 | $205.00 | $133.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $13.33 | $205.00 | $133.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.33 | $205.00 | $133.25 | 2026-03-12 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | TRILLIUM [1296] | TRILLIUM [1575] | $13.57 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $13.57 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $13.57 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $201.10 | $201.10 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $201.10 | $201.10 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $13.67 | $201.10 | $201.10 | 2026-04-17 | MRF ↗ |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER OutpatientFacility | Advocate Employee | Commercial | $13.79 | $35.00 | $17.50 | 2025-11-04 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $13.90 | $154.44 | $154.44 | 2024-10-01 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Valenz Access | Valenz Access Commercial | $14.00 | $421.73 | $139.00 | 2024-12-19 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $14.07 | $390.00 | $210.21 | 2026-01-01 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | FH-Medical Rental | $14.30 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | FH-Medical Rental | $14.30 | $22.00 | $5.06 | 2026-03-31 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $14.37 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $14.50 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $14.50 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $14.51 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $14.51 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $14.63 | $390.00 | $210.21 | 2026-01-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $14.64 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $14.66 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $14.66 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $14.69 | $216.09 | $216.09 | 2026-04-17 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $14.71 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $14.73 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $14.73 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | HMO | $14.74 | $22.00 | $4.18 | 2026-03-31 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $14.79 | $59.00 | $33.04 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $14.80 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $14.80 | $744.93 | $744.93 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.21 | $234.00 | $152.10 | 2026-03-18 | 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.