93325 — Pr Echocardiography Doppler Color Flow Mapping|PROFESSIONAL Component
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Echocardiography Doppler Color Flow Mapping|PROFESSIONAL COMPONENT (CPT 93325) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93325?code_type=CPT
MLA (9th ed.)
“PR Echocardiography Doppler Color Flow Mapping|PROFESSIONAL COMPONENT (CPT 93325) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93325?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Echocardiography Doppler Color Flow Mapping|PROFESSIONAL COMPONENT (CPT 93325) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93325?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $120–$721 (25th–75th percentile) across 2,547 hospitals · 8,312 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93325 — 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
$120
$385 typical
$721
The middle 50% of negotiated facility rates for this procedure, measured across 2,547 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. | $385 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $24 × 1.22 commercial. | $29 |
| Likely subtotal | $414 |
Surgical episode (typical)
~$414
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)
~$4,198
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $825.00 | $577.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $742.00 | $371.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $742.00 | $371.00 | 2024-12-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.09 | $12.00 | $2.28 | 2026-01-25 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.34 | $589.00 | $441.75 | 2026-03-26 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.51 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.54 | — | — | 2026-05-06 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.61 | $312.00 | $234.00 | 2025-03-07 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.72 | $1,503.00 | $556.11 | 2026-03-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,699.04 | $2,404.38 | 2025-11-26 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,846.48 | $1,850.21 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $492.00 | $403.44 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.02 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.02 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.02 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.05 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.08 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.11 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $1.16 | $5.62 | $5.62 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $1.16 | $5.62 | $5.62 | 2024-12-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.26 | $263.00 | $249.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.26 | $263.00 | $249.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.29 | $263.00 | $249.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.29 | $263.00 | $249.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.33 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.33 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.34 | $263.00 | $249.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.36 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.36 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.36 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.36 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.39 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.41 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.44 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.50 | $277.00 | $263.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.56 | $318.00 | $302.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.56 | $318.00 | $302.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.59 | $318.00 | $302.10 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - HMO/POS/EPO | $1.61 | $1,740.00 | $1,305.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | County Medical Services | County of San Diego | $1.61 | $1,740.00 | $1,305.00 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.65 | $318.00 | $302.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.72 | $318.00 | $302.10 | 2026-02-20 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | High Performance | $1.77 | $792.00 | — | 2025-08-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1.86 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $1.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1.86 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $1.86 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1.86 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | MEDICAID [300001] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | MEDICAID QMB [300007] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | MEDICAID MICHILD [300008] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MICHILD [107101] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $1.92 | $286.20 | $143.10 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $1.92 | $11.00 | $11.00 | 2026-03-23 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $1.93 | $10.00 | $9.00 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $1.93 | $10.00 | $9.00 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $1.93 | $10.00 | $9.00 | 2024-07-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | All Products | $1.97 | $792.00 | — | 2025-08-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $1.98 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $1.98 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $1.98 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $1.98 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $2.00 | $7.00 | $3.00 | 2025-02-03 | 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.