92575 — Sensorineural Acuity Lvl Tst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SENSORINEURAL ACUITY LVL TST (HCPCS 92575) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92575?code_type=HCPCS
MLA (9th ed.)
“SENSORINEURAL ACUITY LVL TST (HCPCS 92575) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92575?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SENSORINEURAL ACUITY LVL TST (HCPCS 92575) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92575?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39–$109 (25th–75th percentile) across 1,443 hospitals · 2,006 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92575 — 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
$39
$57 typical
$109
The middle 50% of negotiated facility rates for this procedure, measured across 1,443 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. | $57 |
| Physician fee Estimate national typical Medicare $74 × 1.22 commercial. | $90 |
| Likely subtotal | $147 |
Complete-episode estimate (typical)
~$147
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 $39–$109.
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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.00 | — | — | 2026-03-18 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.00 | — | — | 2026-03-18 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.99 | — | — | 2026-07-15 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Inpatient | Group Health | COMM | $4.00 | — | — | 2024-10-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Upmc | Chip | $4.61 | — | — | 2026-07-19 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $5.07 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.47 | — | — | 2026-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $5.61 | — | $37.29 | 2024-12-31 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $6.40 | — | — | 2025-06-11 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $6.40 | — | — | 2026-01-14 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Arkansas Total Care | KM | $6.40 | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Humana | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $6.40 | — | — | 2024-11-12 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $6.40 | — | — | 2026-01-14 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Vantage | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Arkansas Superior Select Tribute | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Municipal Health Benefit Fund | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Tricare | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $6.40 | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Wellcare | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $6.40 | — | — | 2026-03-18 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Care Improvement Plus | — | — | — | 2026-04-08 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $6.40 | — | — | 2025-07-01 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Ambetter Exchange | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $6.40 | — | — | 2026-04-08 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $6.40 | — | — | 2026-09-15 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $6.40 | — | — | 2025-06-11 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $6.40 | — | — | 2026-07-15 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $6.51 | — | — | 2025-06-17 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Empower Healthcare Solutions | KM | $6.53 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $6.53 | — | — | 2026-01-14 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Empower Healthcare Services | Medicaid | $6.53 | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $6.53 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $6.53 | — | — | 2026-01-13 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $6.72 | — | — | 2024-11-12 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $7.04 | — | — | 2026-03-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $7.26 | $79.00 | $23.70 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $7.44 | — | — | 2026-03-29 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Brand New Day | Managed Medi-Cal | $7.44 | — | — | 2026-03-26 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $7.44 | — | — | 2026-04-01 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $7.44 | — | — | 2026-03-29 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $7.44 | — | $65.22 | 2026-04-08 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $7.44 | — | — | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $7.44 | — | — | 2026-03-29 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Merced | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Tulare | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CHDP | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | $7.44 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LaSalle Medical Associates | Medi-Cal | $7.44 | — | — | 2026-02-25 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | KAISER | MED ADV | $7.44 | — | — | 2026-01-14 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Physician Health Network | Medi-Cal | $7.44 | — | — | 2026-02-25 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.44 | — | — | 2026-03-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kings | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Alpha Care | Medi-Cal | $7.44 | — | — | 2026-02-25 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $7.44 | — | $65.22 | 2026-04-08 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Care1st Health | Managed Medi-Cal | $7.44 | — | — | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Alta | Managed Medi-Cal | $7.44 | — | — | 2026-03-26 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LA Health Care | Medi-Cal | $7.44 | — | — | 2026-02-25 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kern | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $7.44 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.44 | — | — | 2026-03-18 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $7.44 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | CalOptima | Managed Medi-Cal LTC | $7.44 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield Promise | Medi-Cal | $7.44 | — | — | 2026-03-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Fresno | Managed Medi-Cal | $7.44 | — | — | 2026-06-18 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $7.59 | — | — | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Blue Cross | Medi-Cal | $7.59 | $198.45 | $198.45 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Blue Cross | Medi-Cal | $7.59 | — | — | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $7.59 | — | — | 2026-02-04 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medi-Cal | $7.81 | — | — | 2026-03-26 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $7.88 | — | — | 2026-01-25 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $7.90 | $79.00 | $23.70 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $7.95 | — | — | 2026-07-18 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $7.95 | — | — | 2026-01-01 | MRF ↗ |
| MILLER COUNTY HOSPITAL OutpatientFacility | Amerigroup | Managed Care | $7.95 | — | — | 2025-07-08 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $7.95 | — | — | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $7.98 | $79.00 | $23.70 | 2026-07-15 | MRF ↗ |
| MILLER COUNTY HOSPITAL OutpatientFacility | Wellcare | Managed Medicaid | $8.11 | — | — | 2025-07-08 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medi-Cal | $8.18 | — | — | 2026-02-25 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.18 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.18 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Health Net of California | Managed Medi-Cal | $8.18 | — | — | 2026-03-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | WC | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | HMO/POS | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Local Value | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Amerihealth | Local Value | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $8.47 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Amerihealth | Regional Preferred | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | 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.