92616 — Fees W/laryngeal Sense Test
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FEES W/LARYNGEAL SENSE TEST (CPT 92616) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92616?code_type=CPT
MLA (9th ed.)
“FEES W/LARYNGEAL SENSE TEST (CPT 92616) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92616?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“FEES W/LARYNGEAL SENSE TEST (CPT 92616) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92616?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $133–$346 (25th–75th percentile) across 1,458 hospitals · 2,901 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92616 — 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
$133
$223 typical
$346
The middle 50% of negotiated facility rates for this procedure, measured across 1,458 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. | $223 |
| Physician fee Estimate national typical Medicare $80 × 1.22 commercial. | $97 |
| Likely subtotal | $320 |
Complete-episode estimate (typical)
~$320
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 |
|---|---|---|---|---|---|---|---|
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.70 | $106.00 | $106.00 | 2026-02-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.80 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $6.64 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.97 | $373.77 | $224.26 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.97 | $373.77 | $224.26 | 2025-08-11 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.23 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.23 | $808.13 | $808.13 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.23 | — | — | 2026-03-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $9.60 | — | — | 2025-12-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $12.11 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $17.30 | — | — | 2026-01-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $18.44 | — | — | 2026-03-28 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.40 | — | — | 2026-01-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Inn - Snch | $21.94 | — | — | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $21.97 | $469.00 | — | 2026-03-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $27.41 | $203.00 | $152.25 | 2026-01-16 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $27.73 | $675.63 | $128.00 | 2024-12-19 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $28.11 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $28.11 | — | — | 2025-12-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $29.19 | $675.63 | $128.00 | 2024-12-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Commercial | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $31.99 | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Cascade Care Select | Commercial | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana | Medicare | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Regence | Medicare | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Kaiser | Medicare | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicare | — | $394.00 | $315.20 | 2026-03-26 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $34.29 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $34.29 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $34.29 | — | — | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $39.05 | $557.79 | $557.79 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $39.05 | $557.79 | $557.79 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $39.05 | $557.79 | $557.79 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $39.05 | $557.79 | $557.79 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $39.05 | $557.79 | $557.79 | 2026-03-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $40.90 | — | — | 2026-04-01 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Priority Health | Priority Health Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Priority Health | Priority Health Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Mclaren Health Plan | Mclaren Health Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Mclaren Health Plan | Mclaren Health Medicaid | $41.17 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Medicare Advantage | $41.60 | $682.00 | — | 2026-04-13 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Aetna Better Health | Aetna Better Health Medicaid | $41.99 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Aetna Better Health | Aetna Better Health Medicaid | $41.99 | $725.00 | $78.00 | 2026-03-17 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $42.12 | $203.00 | $152.25 | 2026-01-16 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $42.40 | $106.00 | $106.00 | 2026-02-13 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $42.69 | — | — | 2026-04-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO SELF FUNDED | FIRST CARE HMO SELF FUNDED | $45.00 | $266.00 | $172.90 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | FIRST CARE HMO - ALL OTHER PLANS | FIRST CARE HMO - ALL OTHER PLANS | $45.00 | $266.00 | $172.90 | 2026-05-07 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $45.11 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $45.11 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $45.11 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $45.24 | $696.00 | $452.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $45.24 | $696.00 | $452.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $45.24 | $696.00 | $452.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $45.24 | $696.00 | $452.40 | 2026-03-12 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $45.57 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $45.57 | — | — | 2026-04-01 | MRF ↗ |
| Desert Springs Hospital | Aetna Medicare | — | $46.00 | $516.00 | $206.00 | 2026-05-23 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $46.39 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $47.25 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Independent Health Association - Wchob | Essential Plan Medicaid Managed Care Plan | $47.27 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association - Wchob | Essential Plan Medicaid Managed Care Plan | $47.27 | — | — | 2026-04-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $47.70 | $106.00 | $106.00 | 2026-02-13 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $47.81 | $497.00 | $298.20 | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $47.97 | $265.00 | $119.25 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $48.80 | $244.00 | $109.80 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $48.80 | $244.00 | $109.80 | 2026-02-19 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $49.40 | $744.00 | $379.44 | 2026-05-09 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $49.45 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $49.45 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $49.45 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $49.45 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $49.45 | — | — | 2025-06-28 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $49.70 | — | — | 2026-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | POS | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | OAP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | LocalPlus | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | AllOtherPlans | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $51.50 | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $51.50 | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | HeritageSelect | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | 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.