93596 — R&l Hrt Cath Chd Nml Nt Cnj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). R&L HRT CATH CHD NML NT CNJ (CPT 93596) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93596?code_type=CPT
MLA (9th ed.)
“R&L HRT CATH CHD NML NT CNJ (CPT 93596) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93596?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“R&L HRT CATH CHD NML NT CNJ (CPT 93596) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93596?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,222–$10,523 (25th–75th percentile) across 1,815 hospitals · 3,837 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93596 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 | — | — | — | $20,154.86 | $10,077.43 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $20,154.86 | $10,077.43 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,846.00 | $4,119.10 | 2025-01-01 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | United Healthcare | All Plans | — | $4,085.70 | $3,677.13 | 2026-07-15 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | $7,934.00 | $4,522.38 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $0.03 | — | — | 2026-07-18 | MRF ↗ |
| ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | $7,934.00 | $4,522.38 | 2026-01-01 | MRF ↗ |
| ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $0.04 | — | — | 2026-07-18 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo - Dhp | $0.06 | — | — | 2026-07-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $32,674.00 | $24,505.50 | 2026-09-02 | 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 ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $0.28 | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $7,091.00 | $4,254.60 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $7,091.00 | $4,254.60 | 2026-07-31 | 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 ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,469.00 | — | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | — | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,202.36 | 2024-12-31 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $32,674.00 | $24,505.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON WILLIAMSON Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $1.27 | $1.50 | $0.54 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $1.27 | $1.50 | $1.05 | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $1.27 | $1.50 | $1.05 | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $20,444.00 | $15,333.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $6.25 | — | — | 2026-07-18 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $10.08 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $10.56 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $10.90 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $10.90 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $10.90 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $10.90 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $10.90 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $10.90 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $11.21 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $11.21 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $11.21 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $11.21 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology UPW | Medicaid HMO | $11.41 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology UPW | Medicaid HMO | $11.41 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $11.41 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $11.41 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicaid HMO | $13.69 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $13.69 | — | — | 2025-08-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.67 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $25.21 | $46,324.88 | $27,794.93 | 2026-03-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $38.17 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $38.17 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $38.17 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $38.17 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $38.17 | — | — | 2026-03-28 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $766.00 | $497.90 | 2026-08-10 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| ST LUKE'S HOSPITAL Outpatient | BCBS RHODE ISLAND [1010501] | BCBS RHODE ISLAND HMO [101050101] | $86.36 | $10,335.00 | $5,167.50 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Outpatient | BCBS RHODE ISLAND [1010501] | BCBS RHODE ISLAND HMO [101050101] | $86.36 | $10,335.00 | $5,167.50 | 2025-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $4,846.00 | $4,119.10 | 2025-01-01 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,545.00 | $4,740.75 | 2026-02-28 | 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.