93016 — Pr Cv Tmst/Bike Max/Submax Continuous ECG Mon/Pharm Stress Supvsr Only
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Cv Tmst/Bike Max/Submax Continuous Ecg Mon/Pharm Stress Supvsr Only (HCPCS 93016) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93016?code_type=HCPCS
MLA (9th ed.)
“PR Cv Tmst/Bike Max/Submax Continuous Ecg Mon/Pharm Stress Supvsr Only (HCPCS 93016) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93016?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR Cv Tmst/Bike Max/Submax Continuous Ecg Mon/Pharm Stress Supvsr Only (HCPCS 93016) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93016?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25–$208 (25th–75th percentile) across 1,588 hospitals · 3,273 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93016 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$25
$58 typical
$208
The middle 50% of negotiated facility rates for this procedure, measured across 1,588 hospitals. The the surgeon's fee 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. | $58 |
| Surgeon (professional fee) Estimate national typical Medicare $21 × 1.22 commercial. | $25 |
| Likely subtotal | $83 |
Surgical episode (typical)
~$83
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 $25–$208.
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 | — | — | — | $89.02 | $44.51 | 2024-12-15 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $89.02 | $44.51 | 2024-12-15 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | CHIP | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections, Inc. | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | AmeriHealth Mercy LA LaCare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| 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 HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.52 | $31.00 | $23.25 | 2026-03-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.63 | $85.00 | $16.15 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.63 | $82.00 | $15.58 | 2026-08-02 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.63 | — | — | 2026-07-15 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $0.92 | $106.00 | $106.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $0.95 | $168.00 | $168.00 | 2026-07-16 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $269.00 | $201.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.86 | $93.00 | — | 2026-07-23 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $835.00 | $417.50 | 2026-07-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $3.11 | $23.00 | $17.25 | 2026-01-16 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $42.00 | $21.00 | 2026-07-15 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington | All Other Plans | $4.14 | $42.00 | $42.00 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington Options, Inc | All Plans | $4.14 | $42.00 | $42.00 | 2026-08-19 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.20 | $210.00 | — | 2026-07-23 | MRF ↗ |
| CONWAY MEDICAL CENTER Outpatient | Aetna | Commercial | $4.31 | — | — | 2026-11-03 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $4.64 | $58.00 | $58.00 | 2026-05-04 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $4.71 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $4.77 | $23.00 | $17.25 | 2026-01-16 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | TRIWEST | TRICARE WEST | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICARE NGS | MEDICARE B | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | HP | HEALTH PARTNERS | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICAID MN | MEDICAID OUTPATIENT | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS OF MN | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | MEDICA | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | ADVANTRA FREEDOM | ADVANTRA FREEDOM MC ADVANTAGE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | SELECTCARE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE LINK | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | UNITED HEALTHCARE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | TRIWEST | CHAMPVA | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | MEDICA PRIME SOLUTION | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | AETNA MEDICARE ADVANTAGE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UMR | UMR | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | CIGNA | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | LABORCARE UNITED HEALTHCARE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS MEDICARE ADVANTAGE | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS PLATINUM BLUE CP | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | AETNA LIFE & CASUALTY | — | $81.00 | $51.84 | 2026-04-01 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Both | HEALTHCARE HIGHWAYS | HEALTHCARE HIGHWAYS | $5.00 | $20.00 | $7.00 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Both | HEALTHCARE HIGHWAYS | HEALTHCARE HIGHWAYS | $5.00 | $20.00 | $7.00 | 2026-03-27 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $5.01 | $74.00 | $55.50 | 2026-04-21 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $5.01 | $74.00 | $55.50 | 2026-07-13 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $5.10 | $51.00 | $51.00 | 2026-07-15 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $5.13 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $5.13 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $5.36 | $67.00 | $67.00 | 2026-05-04 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $5.37 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $5.37 | $37.00 | — | 2024-12-19 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $5.76 | $111.00 | $72.15 | 2026-01-15 | MRF ↗ |
| GROVE HILL MEMORIAL HOSPITAL BothFacility | Aetna | Medicare Advantage | $5.88 | $42.00 | $25.20 | 2026-05-28 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | OccuNet | OccuNet WC | $5.93 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $5.97 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $6.09 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $6.09 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | OPTUM VACCN | VA COMMUNITY CARE NETWORK | $6.24 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | BLUE CROSS BLUE SHIELD | — | — | $48.00 | $28.80 | 2025-06-01 | MRF ↗ |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | BLUE CROSS BLUE SHIELD | — | — | $48.00 | $33.60 | 2025-06-01 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $6.39 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $6.39 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $6.39 | $9.00 | $8.10 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $6.39 | $9.00 | $8.10 | 2026-05-08 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $6.56 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $6.56 | $37.00 | — | 2024-12-19 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | AETNA | AETNA MEDICARE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | WELLPOINT | WELLPOINT TN MEDICARE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | BCBST | BLUE ADVANTAGE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | NHC | Medicare Advantage | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | BLUECARE | DSNP | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | AMERICAN HEALTH | CAH ? BLEDSOE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | WELLPOINT | WELLPOINT TN -TENNCARE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | UPMC | Medicare Advantage | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADVANTAGE | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | CLOVER | Medicare Advantage | $6.72 | $48.00 | $13.87 | 2026-01-25 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $6.97 | $53.20 | $37.24 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $6.97 | $53.20 | $37.24 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $6.97 | $53.20 | $37.24 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $6.97 | $53.20 | $37.24 | 2026-04-17 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | CIGNA COMM-ALL PLANS | CIGNA COMM-ALL PLANS | $6.97 | $75.00 | $45.00 | 2026-07-16 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $6.97 | $75.00 | $45.00 | 2026-07-16 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ROSE ACRE | SAGAMORE ROSE ACRE | $6.97 | $53.20 | $37.24 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE - ALL OTHER PLANS | SAGAMORE - ALL OTHER PLANS | $6.97 | $53.20 | $37.24 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | SAGAMORE ANTHEM | SAGAMORE ANTHEM | $6.97 | $53.20 | $37.24 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $6.97 | $53.20 | $37.24 | 2026-07-07 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.04 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.04 | — | — | 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.