93925 — Pr Duplex Scan Lower Extremity Arteries/Arterial Bypass Grafts Cmplt Bilat|PROFESSIONAL Component|multiple Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Duplex Scan Lower Extremity Arteries/Arterial Bypass Grafts Cmplt Bilat|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES (CPT 93925) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93925?code_type=CPT
MLA (9th ed.)
“PR Duplex Scan Lower Extremity Arteries/Arterial Bypass Grafts Cmplt Bilat|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES (CPT 93925) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93925?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Duplex Scan Lower Extremity Arteries/Arterial Bypass Grafts Cmplt Bilat|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES (CPT 93925) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93925?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $256–$1,065 (25th–75th percentile) across 3,149 hospitals · 10,740 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93925 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$256
$546 typical
$1,065
The middle 50% of negotiated facility rates for this procedure, measured across 3,149 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $546 |
| Physician fee Estimate national typical Medicare $237 × 1.22 commercial. | $290 |
| Likely subtotal | $836 |
Complete-episode estimate (typical)
~$836
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,933.66 | $966.83 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,933.66 | $966.83 | 2024-12-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $0.13 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna SureFit, Local Plus | Commercial | $0.23 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare National Hospital | PPO | $0.25 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna HIX | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PAR | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PAR | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PHP | Commercial | $0.34 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Celtic/Ambetter | Commercial | $0.41 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FN | Commercial | $0.47 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield FN | Commercial | $0.47 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | PPO | $0.48 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Oscar | Commercial | $0.50 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.53 | $1,051.00 | $788.25 | 2026-03-26 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | IVL/Carelink | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield FNS | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FNS | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PCB | Commercial | $0.55 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PCB | Commercial | $0.55 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | HMO | $0.59 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna I-35 NN | Commercial | $0.60 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - PPO | $0.61 | $1,376.00 | $1,032.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Kaiser | Kaiser - HMO | $0.61 | $1,376.00 | $1,032.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Interplan | Interplan | $0.61 | $1,376.00 | $1,032.00 | 2026-04-01 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | WPPA Unified Health Plan | Commercial | $0.75 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Local | Commercial | $0.78 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna NAP | Commercial | $0.83 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $0.84 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna National | Commercial | $0.85 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna Medical Rental Products | Commercial | $0.90 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Coventry Leased | PPO/NAB-FH | $0.97 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $4,663.64 | $3,031.37 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,062.74 | $3,940.78 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,585.00 | $2,119.70 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.11 | $93.00 | $17.67 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.17 | $121.31 | $78.85 | 2026-05-07 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1.32 | $1,932.00 | — | 2025-06-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | High Performance | $1.71 | $2,896.00 | — | 2025-08-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.80 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.80 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.84 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.84 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.84 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.84 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.88 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | All Products | $1.90 | $2,896.00 | — | 2025-08-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.92 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.95 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.03 | $375.50 | $356.72 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.26 | $1,813.00 | $256.39 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.85 | $2,875.70 | $2,875.70 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.87 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.87 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA MEDICARE | $3.92 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA MEDICARE | $3.92 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.41 | $2,875.70 | $2,875.70 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.44 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.44 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.80 | $2,875.70 | $2,875.70 | 2026-03-18 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $4.82 | $1,446.00 | $318.12 | 2026-03-19 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.83 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.83 | $2,422.38 | $2,422.38 | 2026-03-18 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Meritain | Commercial | $4.99 | $1,151.00 | $805.70 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Trustmark | Commercial | $4.99 | $1,151.00 | $805.70 | 2025-01-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $5.17 | — | — | 2026-05-06 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA MEDICARE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA MEDICARE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $5.22 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $5.32 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA MEDICARE | $5.32 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $5.32 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA MEDICARE | $5.32 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $5.35 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $5.35 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $5.38 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $5.38 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.43 | — | — | 2026-05-06 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $5.74 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $5.74 | $39.30 | $39.30 | 2026-03-27 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.18 | $394.00 | $295.50 | 2025-03-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.66 | $1,271.57 | $762.94 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.66 | $1,271.57 | $762.94 | 2025-08-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.76 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.76 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $6.76 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.94 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $7.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $7.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $7.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | UCare Minnesota | MinnesotaCare/Senior Care Plus/Non-Integrated Special Needs Dual Eligible/Medicare Select | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | United Healthcare | Commercial Plans | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | Medica | Medicare Advantage | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | HealthPartners | Medicare Advantage | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | United Healthcare | Minnesota Medicaid Benefit Plans/CHIP | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | UCare Minnesota | Individual and Family Plans | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | UCare Minnesota | MSHO/Integrated Dual Eligible Special Needs/Medicare Advantage | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | Medica | Minnesota Health Care Programs | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | Humana/ChoiceCare | Medicare Advantage | — | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER InpatientFacility | Blue Cross of Minnesota | Minnesota Health Care Programs | $7.10 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.13 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.28 | $112.00 | $72.80 | 2026-03-12 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $7.31 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.77 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.77 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $8.79 | $4,023.00 | $1,026.00 | 2026-04-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $8.95 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.95 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.96 | $1,828.00 | $1,736.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.96 | $1,828.00 | $1,736.60 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $9.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.14 | $1,828.00 | $1,736.60 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $9.24 | $906.00 | $588.90 | 2026-03-14 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.32 | $1,827.00 | $1,735.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.51 | $1,828.00 | $1,736.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $9.87 | $1,828.00 | $1,736.60 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $10.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| ATMORE COMMUNITY HOSPITAL Both | Aetna | Default | $10.02 | $986.00 | $591.60 | 2025-04-01 | MRF ↗ |
| D W MCMILLAN MEMORIAL HOSPITAL Both | Aetna | Default | $10.02 | $986.00 | $591.60 | 2025-03-05 | MRF ↗ |
| D W MCMILLAN MEMORIAL HOSPITAL Both | Aetna | Default | $10.02 | $986.00 | $591.60 | 2025-03-05 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $11.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $11.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $11.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $11.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $11.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $12.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $13.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $13.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER OutpatientFacility | United Healthcare | Minnesota Medicaid Benefit Plans/CHIP | $13.96 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $14.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $14.13 | $70.84 | $70.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $14.13 | $70.84 | $70.84 | 2024-12-30 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $14.34 | $214.00 | $214.00 | 2026-02-13 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER OutpatientFacility | Humana/ChoiceCare | Medicare Advantage | $14.61 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER OutpatientFacility | UCare Minnesota | MinnesotaCare/Senior Care Plus/Non-Integrated Special Needs Dual Eligible/Medicare Select | $14.61 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER OutpatientFacility | Medica | Medicare Advantage | $14.61 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| RAINY LAKE MEDICAL CENTER OutpatientFacility | HealthPartners | Medicare Advantage | $14.61 | $32.47 | $25.01 | 2026-05-06 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $14.95 | $1,437.70 | $1,437.70 | 2026-04-24 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | PPO | ONE CALL CARE PPO OP | $15.00 | $604.30 | $211.50 | 2026-02-05 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $15.00 | $60.00 | $30.00 | 2025-02-03 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | WORKERS COMP | WC ONE CALL CARE OP | $15.00 | $604.30 | $211.50 | 2026-02-05 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $15.00 | $60.00 | $30.00 | 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.