92626 — Eval Aud Funcj 1st Hour
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EVAL AUD FUNCJ 1ST HOUR (CPT 92626) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92626?code_type=CPT
MLA (9th ed.)
“EVAL AUD FUNCJ 1ST HOUR (CPT 92626) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92626?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EVAL AUD FUNCJ 1ST HOUR (CPT 92626) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92626?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $141–$337 (25th–75th percentile) across 1,824 hospitals · 4,043 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92626 — 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
$141
$195 typical
$337
The middle 50% of negotiated facility rates for this procedure, measured across 1,824 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. | $195 |
| Physician fee Estimate national typical Medicare $60 × 1.22 commercial. | $73 |
| Likely subtotal | $268 |
Complete-episode estimate (typical)
~$268
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 $141–$337.
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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.46 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.46 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.46 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.47 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.48 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.50 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.67 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | 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 BLUE CARE NETWORK | $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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.19 | $660.00 | $159.67 | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.22 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.22 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.22 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.26 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.29 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.32 | $331.00 | $314.45 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $1.63 | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $300.00 | $180.00 | 2026-07-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.96 | $400.00 | $380.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.96 | $400.00 | $380.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.00 | $400.00 | $380.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.08 | $400.00 | $380.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.16 | $400.00 | $380.00 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $441.00 | $220.50 | 2026-07-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.62 | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $2.65 | $264.91 | $198.68 | 2026-07-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.98 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.00 | — | — | 2026-03-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $3.18 | $264.91 | $198.68 | 2026-07-17 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.42 | — | — | 2026-03-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $3.44 | $264.91 | $198.68 | 2026-08-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.44 | — | — | 2026-03-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $3.71 | $264.91 | $198.68 | 2026-08-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.75 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.75 | — | — | 2026-03-18 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $4.45 | $211.93 | $158.95 | 2026-08-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $6.60 | $302.89 | $154.47 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $7.68 | $264.91 | $198.68 | 2026-08-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $8.80 | — | — | 2026-09-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $10.86 | $264.91 | $198.68 | 2026-07-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $12.29 | $91.00 | $68.25 | 2026-01-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC HEALTHCHOICE | ALL PRODUCTS | $12.57 | — | — | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Champus | All Plans | $12.73 | $302.89 | $178.71 | 2026-09-19 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $13.05 | $79.00 | $47.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $13.05 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $13.05 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $13.05 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $13.05 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $13.05 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $13.23 | — | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $13.23 | — | — | 2026-04-16 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $13.49 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $13.79 | $203.75 | $142.63 | 2026-07-15 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $13.89 | — | — | 2026-01-01 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource Med Adv | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Veterans Affairs [1056] | Hb Mccall Va Ccn | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Commercial [1028] | Hb Mccall Va Ccn | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource Hmo Ppo Med Adv | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $13.92 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med Adv | $14.06 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $14.17 | $970.00 | $206.90 | 2026-03-04 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $14.20 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $14.20 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $14.34 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $14.34 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $14.34 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $14.34 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $14.77 | — | — | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $14.77 | $295.00 | $88.50 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $14.77 | $295.00 | $88.50 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $14.77 | $295.00 | $88.50 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $14.92 | $295.00 | $88.50 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $15.21 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $15.21 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $15.21 | — | — | 2026-07-18 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $15.31 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $15.50 | — | — | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Nampa Slhp St Lukes Health Plan Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Commercial [1028] | Hb Nampa Slhp Select Health Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Select Health [1063] | Hb Nampa Slhp Select Health Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Select Health [1063] | Hb Nampa Slhp Select Health | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Commercial [1028] | Hb Nampa Slhp Mountain Health Coop | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Blue Cross Idaho [1007] | Hb Nampa Slhp Blue Cross Large Group | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Blue Cross Idaho [1007] | Hb Nampa Slhp Blue Cross Carepoint Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Commercial [1028] | Hb Nampa Slhp Select Health | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Pacificsource [1020] | Hb Nampa Slhp Pacificsource Navigator Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Mountain Health Co-Op [1067] | Hb Nampa Slhp Mountain Health Coop | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Nampa Slhp St Lukes Health Plan Large Group | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Commercial [1028] | Hb Tv Slhp Select Health Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes Health Plan Large Group | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | St Lukes Health Plan [1046] | Hb Nampa Slhp St Lukes Health Plan Qhp | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Commercial [1028] | Hb Tv Slhp Select Health | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Select Health [1063] | Hb Tv Slhp Select Health Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes Health Plan Qhp | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Group | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Select Health [1063] | Hb Tv Slhp Select Health | $15.60 | $24.00 | $24.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S NAMPA MEDICAL CENTER Inpatient | St Lukes Health Plan [1046] | Hb Nampa Slhp St Lukes Health Plan Large Group | $15.60 | $24.00 | $24.00 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $15.65 | — | — | 2026-07-18 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | $520.00 | $312.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | $79.00 | $47.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | $476.00 | $285.60 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.74 | — | — | 2026-01-01 | 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.