92953 — Temporary External Pacing
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TEMPORARY EXTERNAL PACING (HCPCS 92953) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92953?code_type=HCPCS
MLA (9th ed.)
“TEMPORARY EXTERNAL PACING (HCPCS 92953) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92953?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TEMPORARY EXTERNAL PACING (HCPCS 92953) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92953?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $411–$1,151 (25th–75th percentile) across 2,375 hospitals · 8,063 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92953 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$411
$727 typical
$1,151
The middle 50% of negotiated facility rates for this procedure, measured across 2,375 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $727 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $1 × 1.22 commercial. | $1 |
| Likely subtotal | $728 |
Surgical episode (typical)
~$728
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,513
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,189.92 | $1,094.96 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $6,108.68 | $3,970.64 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,189.92 | $1,094.96 | 2024-12-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.03 | $1,122.38 | $673.43 | 2025-08-11 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $0.03 | $29.00 | $18.85 | 2026-05-07 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | PREMIER PHYS EMPLOY PROFEE ONLY | PREMIER PHYS EMPLOY PROFEE ONLY | $0.03 | $21.00 | $4.62 | 2026-01-25 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.03 | $1,122.38 | $673.43 | 2025-08-11 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.06 | $213.00 | $213.00 | 2026-02-13 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $0.24 | $50.00 | $37.50 | 2026-04-21 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | Medicare Manged Care Plans | HMO | $0.30 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $0.35 | $18.35 | $18.35 | 2024-12-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.43 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.43 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $0.43 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.44 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $0.44 | $1,323.00 | $793.80 | 2024-07-01 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $0.44 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.44 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.47 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.47 | — | — | 2026-03-01 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | EBL | HMO | $0.48 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | UCare of Minnesota | Medicaid Minnesota Care | $0.49 | — | — | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | PrimeWest Minnesota | Managed Medicaid | $0.49 | — | — | 2025-09-11 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Managed Health Service | Managed Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | South County | Managed Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Anthem | Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | South County | Managed Medicaid | $0.50 | — | — | 2025-06-27 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $0.50 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $0.50 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.50 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $0.51 | — | — | 2026-03-04 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $0.51 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $0.51 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| WHITE RIVER MEDICAL CENTER Outpatient | BCBS Metallic/Exchange WRMC | Metallic/Exchange | $0.52 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $0.52 | $1,323.00 | $793.80 | 2024-07-01 | MRF ↗ |
| WHITE RIVER MEDICAL CENTER Outpatient | BCBS Metallic/Exchange WRMC | Metallic/Exchange | $0.52 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $0.53 | $440.00 | — | 2025-06-28 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $0.53 | — | — | 2026-03-04 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $1.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $0.53 | $440.00 | — | 2025-06-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $0.53 | $440.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $0.53 | $440.00 | — | 2025-06-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $1.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $0.96 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $0.96 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $0.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.53 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.53 | $440.00 | — | 2025-06-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.53 | $2.00 | $1.66 | 2026-02-28 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | Aetna | HMO | $0.54 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $0.54 | — | — | 2026-03-04 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Optum VA - Stone County | UNKNOWN | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Arkansas Blue Medicare Advantage | Medicare Advantage | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | HMO Partners Inc SCMC | Medicaid | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Arkansas Superior Select SCMC | Medicare Advantage | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Aetna Medicare Advantage SCMC | Medicare Advantage | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | BCBS Medicare Advantage SCMC | Medicare Advantage | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | United Healthcare Medicare Advantage SCMC | Medicare Advantage | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Medipak Advantage SCMC | Medicaid | $0.54 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL BothFacility | Mountain CoOp | All | $0.55 | $36.00 | $36.00 | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL BothFacility | Pacific Source | All | $0.55 | $36.00 | $36.00 | 2026-05-22 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Vantage HealthPlan Medicare Advantage SCMC | Medicare Advantage | $0.55 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $0.56 | $425.50 | $306.36 | 2026-05-04 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | AMERIGROUP OP ONLY - ALL PLANS | AMERIGROUP OP ONLY - ALL PLANS | $0.56 | $78.45 | $78.45 | 2026-03-12 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | COORDINATED CARE MCAID | COORDINATED CARE MCAID | $0.56 | $78.45 | $78.45 | 2026-03-12 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $0.56 | $78.45 | $78.45 | 2026-03-12 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $0.56 | $425.50 | $306.36 | 2026-05-04 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $0.56 | $440.00 | — | 2025-06-28 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Cigna Medicare Advantage SCMC | Medicare Advantage | $0.56 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Allwell SCMC | Medicare Advantage | $0.57 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | VA | All | — | — | — | 2026-01-21 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Mail Handlers | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Community Health Network of Washington | Basic | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Tricare | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | GEHA | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Amerigroup | All | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Aetna | All | — | — | — | 2026-01-21 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Kaiser | All | — | — | — | 2026-01-21 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Molina | Medicaid | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Uniform Medical Plan | All | — | — | — | 2026-01-21 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $0.57 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $0.57 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $0.57 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Regence | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Amerigroup | All | $0.57 | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | HMA | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Cigna | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Community Health Network of Washington | Healthy Options | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Provider Network of America | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Community Health Network of Washington | CHIP | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | First Health | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Multiplan | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Premera | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Triwest | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | United Healthcare | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | First Choice Health | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | United Healthcare | Medicaid | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Coordinated Care | Managed Medicaid | $0.57 | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Asuris | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Coordinated Care | Ambetter | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Community Health Plan | Cascade Select | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Community Health Plan | Healthy Option | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Coordinated Care | Apple Health | $0.57 | $12.00 | $8.40 | 2026-03-30 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | Wellcare SCMC | Medicare Advantage | $0.57 | $2.00 | $1.50 | 2026-03-19 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | HAP | PPO | $0.58 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $0.59 | $788.00 | $788.00 | 2026-02-19 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | PHCS Multiplan | HMO | $0.59 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $0.59 | $788.00 | $788.00 | 2026-02-19 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | Priority Health | PPO | $0.59 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $0.59 | $425.50 | $306.36 | 2026-05-04 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | United Health Care | PPO | $0.59 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $0.59 | $83.00 | $42.33 | 2026-05-09 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $0.59 | $425.50 | $306.36 | 2026-05-04 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $0.59 | $788.00 | $788.00 | 2026-02-19 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | Humana | HMO | $0.59 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $0.59 | $788.00 | $788.00 | 2026-02-19 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $0.59 | $38.58 | $38.58 | 2026-03-12 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $0.60 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $0.60 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $0.60 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716,UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601,UNITED HEALTHCARE ESSENTIAL 3-4 171602,UNITED HEALTHCARE ESSENTIAL 1-2 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $0.61 | — | — | 2026-01-01 | MRF ↗ |
| MARLETTE REGIONAL HOSPITAL Both | Cofinity | HMO | $0.61 | $0.65 | $0.65 | 2025-01-25 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | $0.62 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $0.62 | $83.00 | $42.33 | 2026-05-09 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | $0.62 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | $0.62 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | $0.62 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Medicare | $0.63 | $42.00 | $22.68 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Medicare | $0.63 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Medicare | $0.63 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Medicare | $0.63 | $42.00 | $12.18 | 2025-10-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $0.64 | $440.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $0.64 | $466.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $0.64 | $440.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.64 | $466.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $0.64 | $440.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $0.64 | $466.00 | — | 2025-06-28 | 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.