92612 — Endoscopy Swallow (fees) Vid
Cite this view
HANK Price Transparency. (n.d.). ENDOSCOPY SWALLOW (FEES) VID (CPT 92612) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92612?code_type=CPT
“ENDOSCOPY SWALLOW (FEES) VID (CPT 92612) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92612?code_type=CPT. Accessed .
“ENDOSCOPY SWALLOW (FEES) VID (CPT 92612) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92612?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $154–$472 (25th–75th percentile) across 2,141 hospitals · 6,793 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92612 — 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 physician fees are estimated 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 2,141 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. | $260 |
| Physician fee Estimate national typical Medicare $54 × 1.22 commercial. | $66 |
| Likely subtotal | $326 |
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $576.13 | $288.06 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $576.13 | $288.06 | 2024-12-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $105.00 | $99.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $105.00 | $99.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.53 | $111.00 | $105.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.53 | $111.00 | $105.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.54 | $111.00 | $105.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.57 | $111.00 | $105.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.62 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.62 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.64 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - Promise | $0.66 | $651.00 | $488.25 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.69 | $127.00 | $120.65 | 2026-02-20 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | $0.74 | $651.00 | $488.25 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,938.25 | $1,909.86 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,977.42 | $1,285.32 | 2025-11-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $1.59 | $651.00 | $488.25 | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.05 | $607.00 | — | 2025-06-28 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | $2.20 | $651.00 | $488.25 | 2026-04-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.90 | $91.00 | $91.00 | 2026-02-13 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.89 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.89 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.89 | $709.89 | $709.89 | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.26 | $1,028.53 | $617.12 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.26 | $1,028.53 | $617.12 | 2025-08-11 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.61 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.61 | $709.89 | $709.89 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.61 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.11 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.11 | $709.89 | $709.89 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.11 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $11.24 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $11.66 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $11.66 | $394.00 | $236.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $11.66 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $11.66 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $11.66 | — | — | 2026-01-01 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $13.73 | $251.00 | $83.00 | 2024-12-19 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $394.00 | $236.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $654.00 | $392.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $394.00 | $236.40 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $654.00 | $392.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.76 | $554.00 | $332.40 | 2026-01-01 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | MEDICARE | $14.24 | $126.00 | $18.90 | 2025-12-23 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Inn - Snch | $14.34 | — | — | 2026-04-01 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $14.46 | $251.00 | $83.00 | 2024-12-19 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $14.73 | $288.00 | — | 2026-03-31 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | CHIP | $15.26 | $217.95 | $217.95 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | MCDSTAR | $15.26 | $217.95 | $217.95 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARPLUS | $15.26 | $217.95 | $217.95 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARHealth | $15.26 | $217.95 | $217.95 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Superior Health Plan | STARKids | $15.26 | $217.95 | $217.95 | 2026-03-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Kaiser | Medicare | — | $408.00 | $326.40 | 2026-03-26 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $16.00 | $81.00 | $53.00 | 2026-05-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,977.42 | $1,285.32 | 2025-11-26 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Bright Health | HIX | $17.17 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Oscar | HIX | $18.48 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $18.59 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $18.85 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $18.85 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $18.90 | $126.00 | $18.90 | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $18.90 | $126.00 | $18.90 | 2025-12-23 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $19.00 | $174.00 | $87.00 | 2025-06-12 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Pruitt Health (AllyAlign) | MCR | $19.19 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | NHC Advantage, Inc. | MCRHMO | $19.19 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Apex Health | MCR | $19.19 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Blue Community HMO (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | HealthSmart Preferred Care II | HealthSmart Workers' Compensation/Occupational Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PPO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | MPI Complementary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicaid (State) | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico CHIP Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Auto Medical | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $19.96 | $95.04 | $47.52 | 2025-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,977.42 | $1,285.32 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $20.48 | $315.00 | $204.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $20.48 | $315.00 | $204.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $20.48 | $315.00 | $204.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $20.48 | $315.00 | $204.75 | 2026-03-12 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $444.00 | $288.60 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $444.00 | $288.60 | 2025-01-01 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Medicare Advantage | Medicare Advantage | $21.00 | $86.00 | $26.00 | 2026-05-27 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Triwest | Commercial | $21.00 | $86.00 | $26.00 | 2026-05-27 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $22.17 | $341.00 | $221.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.17 | $341.00 | $221.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $22.17 | $341.00 | $221.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $22.17 | $341.00 | $221.65 | 2026-03-12 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Ambetter | CORE | $22.52 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $22.95 | $170.00 | $127.50 | 2026-01-16 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | USA | Commercial | $23.00 | $86.00 | $26.00 | 2026-05-27 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Ambetter | Select | $23.43 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Bright Health | SmallGroup | $24.24 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $24.25 | $590.82 | $85.00 | 2024-12-19 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | MEDICAID [1087] | NMH MEDICAID MN | $24.56 | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | HENNEPIN HEALTH [1096] | MGH XR HB HENN HEALTH SNBC | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | MEDICAID [1087] | MGH MEDICAID MN | $24.56 | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | CIGNA HEALTH PARTNERS [1242] | MGH HP CIGNA | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | HENNEPIN HEALTH [1096] | MGH XR HB HENN HEALTH PMAP | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | HEALTH PARTNERS [1061] | MGH HP GOVT MSHO | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | HEALTH PARTNERS [1061] | MGH HP COMM | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | HEALTH PARTNERS [1061] | MGH HP FEDERAL | — | $558.00 | $294.07 | 2026-04-30 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | United | OptionsPPO | $24.64 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $25.00 | $204.04 | $102.02 | 2024-12-15 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Humana | TRICARE | $25.25 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Cigna | NewBusiness | $25.45 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $25.52 | $590.82 | $85.00 | 2024-12-19 | MRF ↗ |
| UNION GENERAL HOSPITAL Both | AMERIGROUP COMMUNITY CARE | AMERIGROUP MEDICAID | $25.80 | $185.00 | $92.50 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $25.94 | $399.00 | $259.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $25.94 | $399.00 | $259.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $25.94 | $399.00 | $259.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $25.94 | $399.00 | $259.35 | 2026-03-12 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $26.55 | $187.00 | $87.45 | 2024-12-31 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $27.00 | $204.04 | $102.02 | 2024-12-15 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $27.00 | $27.00 | $21.60 | 2026-04-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $27.11 | $187.00 | $87.45 | 2024-12-31 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Tennessee Donor Services | LOCALGOV | $27.37 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $27.71 | — | — | 2026-04-01 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Mclaren Health Plan | Mclaren Health Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Mclaren Health Plan | Mclaren Health Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Priority Health | Priority Health Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Priority Health | Priority Health Medicaid | $27.91 | $663.00 | $53.00 | 2026-03-17 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $28.06 | $460.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $28.06 | $460.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Medicare Advantage | $28.06 | $460.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Coventry | $28.06 | $460.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Coventry | $28.06 | $460.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Coventry | $28.06 | $460.00 | — | 2026-04-13 | 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.