92562 — Loudness Balance Test
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LOUDNESS BALANCE TEST (CPT 92562) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92562?code_type=CPT
MLA (9th ed.)
“LOUDNESS BALANCE TEST (CPT 92562) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92562?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LOUDNESS BALANCE TEST (CPT 92562) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92562?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $113–$350 (25th–75th percentile) across 1,294 hospitals · 2,069 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92562 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$113
$288 typical
$350
The middle 50% of negotiated facility rates for this procedure, measured across 1,294 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. | $288 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $49 × 1.22 commercial. | $60 |
| Likely subtotal | $347 |
Surgical episode (typical)
~$347
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.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,132
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 |
|---|---|---|---|---|---|---|---|
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.00 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $2.40 | — | — | 2025-07-01 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $2.40 | — | — | 2025-06-11 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $2.40 | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $2.40 | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Arkansas Total Care | KM | $2.40 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $2.40 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $2.40 | — | — | 2026-01-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $2.40 | — | — | 2024-11-12 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $2.40 | — | — | 2025-06-11 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $2.40 | — | — | 2026-01-14 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Empower Healthcare Solutions | KM | $2.45 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $2.45 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $2.45 | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Empower Healthcare Services | Medicaid | $2.45 | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $2.45 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $2.45 | — | — | 2026-01-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $2.52 | — | — | 2024-11-12 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.99 | — | — | 2026-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $4.20 | — | $159.67 | 2024-12-31 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $4.79 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $4.79 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $4.79 | — | — | 2026-03-18 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $4.87 | — | — | 2025-06-17 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $4.99 | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $5.09 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $5.24 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $5.39 | — | — | 2026-03-04 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas Total Care | Managed Care | $5.45 | — | — | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Care | $5.45 | — | — | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | CareSource | Managed Care | $5.54 | — | — | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | CareSource | Managed Care | $5.54 | — | — | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | CareSource | Managed Care | $5.54 | — | — | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | CareSource | Managed Care | $5.54 | — | — | 2025-06-11 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $5.94 | $44.00 | $33.00 | 2026-01-16 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6.34 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6.34 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $6.59 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6.64 | — | — | 2026-03-05 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $6.70 | — | — | 2026-02-02 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6.89 | — | — | 2026-03-04 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $6.97 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7.14 | — | — | 2026-03-04 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $7.53 | — | — | 2026-01-01 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $7.56 | — | — | 2026-03-04 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $7.70 | — | — | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $7.70 | — | — | 2026-03-29 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $7.70 | — | $377.07 | 2026-04-08 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $7.70 | — | $377.07 | 2026-04-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.70 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | CalOptima | Managed Medi-Cal LTC | $7.70 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.70 | — | — | 2026-03-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LaSalle Medical Associates | Medi-Cal | $7.70 | — | — | 2026-02-25 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Care1st Health | Managed Medi-Cal | $7.70 | — | — | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Alta | Managed Medi-Cal | $7.70 | — | — | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Brand New Day | Managed Medi-Cal | $7.70 | — | — | 2026-03-26 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $7.70 | — | — | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $7.70 | — | — | 2026-03-29 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LA Health Care | Medi-Cal | $7.70 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | $7.70 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Alpha Care | Medi-Cal | $7.70 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Physician Health Network | Medi-Cal | $7.70 | — | — | 2026-02-25 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.70 | — | — | 2026-03-18 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | KAISER | MED ADV | $7.70 | — | — | 2026-01-14 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $7.85 | — | — | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Blue Cross | Medi-Cal | $7.85 | — | — | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Blue Cross | Medi-Cal | $7.85 | $351.75 | $351.75 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $7.85 | — | — | 2026-02-04 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medi-Cal | $8.09 | — | — | 2026-03-26 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $8.11 | — | — | 2026-03-04 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $8.27 | — | $174.48 | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $8.27 | — | $366.72 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $8.40 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $8.40 | — | $159.67 | 2024-12-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.47 | — | — | 2026-03-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medi-Cal | $8.47 | — | — | 2026-02-25 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.47 | — | — | 2026-03-18 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | REGAL MG 'HERITAGE PROVIDER NETWORK' [2019] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEALTH PLAN OF SAN JOAQUIN [2032] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | GOLD COAST HEALTH PLAN [2031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $8.84 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALIGNMENT HEALTH PLAN [2020] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH [1237] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $8.84 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALAMEDA ALLIANCE FOR HEALTH [2027] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CMS - COUNTY MEDICAL SERVICES [1025] | COUNTY MEDICAL SERVICES | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | KERN HEALTH SYSTEMS [2033] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UNLISTED MCAL HMO NON-CONTRACT [1049] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | IMPERIAL HEALTH HOLDINGS [1132] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SAN DIEGO COUNTY [1071] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDI-CAL [1048] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CAREMORE [2028] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDICAID - OUT OF STATE [1047] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | FEDERAL PRISON [10310001] | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | AllCare IPA | All Commercial Products | $8.84 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Community Care IPA | All Commercial Products | $8.84 | — | — | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | LA CARE HEALTH PLAN [2025] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SD PHYSICIANS MED GRP [1076] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Health Net | All Commercial Products | — | — | — | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | STATE OF CALIFORNIA [1082] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CALIFORNIA HEALTH & WELLNESS MEDI-CAL [1122] | CALIFORNIA HEALTH AND WELLNESS MEDI-CAL (no longer Medi-Cal plan as of 1/1/24) | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | XIMED [2016] | MEDI-CAL | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEMET COMMUNITY MED GRP - PROMISECARE [1040] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.84 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $8.93 | — | — | 2026-04-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $9.13 | $44.00 | $33.00 | 2026-01-16 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Health | Managed Medicaid | $9.37 | — | — | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon NJ Health | Managed Medicaid | $9.37 | — | — | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon NJ Health | Managed Medicaid | $9.37 | — | — | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon NJ Health | Managed Medicaid | $9.37 | — | — | 2026-03-24 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $9.72 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $9.72 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $9.72 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $10.16 | $445.00 | $244.75 | 2026-04-01 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medi-Cal | $10.32 | — | — | 2026-02-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $10.50 | — | $344.98 | 2025-12-31 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $10.69 | — | — | 2026-01-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $10.78 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $10.78 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $10.78 | — | — | 2026-03-18 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $10.96 | — | — | 2026-03-04 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $11.04 | — | — | 2025-03-13 | 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.