94002 — Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Initial hospital inpatient or observation ventilation assistance and management (CPT 94002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94002?code_type=CPT
MLA (9th ed.)
“Initial hospital inpatient or observation ventilation assistance and management (CPT 94002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94002?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Initial hospital inpatient or observation ventilation assistance and management (CPT 94002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94002?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $600–$1,776 (25th–75th percentile) across 2,844 hospitals · 10,227 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94002 — 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
$600
$929 typical
$1,776
The middle 50% of negotiated facility rates for this procedure, measured across 2,844 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. | $929 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $86 × 1.22 commercial. | $105 |
| Likely subtotal | $1,034 |
Surgical episode (typical)
~$1,034
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)
~$4,819
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 HOSPITAL MANSFIELD Inpatient | None | — | — | $4,333.76 | $2,166.88 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $4,333.76 | $2,166.88 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.34 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.34 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.34 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.34 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.34 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.57 | $1,160.00 | $870.00 | 2025-03-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | QHPHIX | $0.65 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.65 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.67 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.96 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | NewBusiness | $0.96 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $18,153.80 | $11,799.97 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Oscar | HIX | $1.00 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $18,153.80 | $11,799.97 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | COMM | $1.02 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | Meritain | $1.02 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.15 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | OON | $1.20 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.62 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.04 | $2,048.59 | $1,229.15 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.04 | $2,048.59 | $1,229.15 | 2025-08-11 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $2.13 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $2.16 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $2.16 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.40 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.53 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.60 | $1,195.00 | $442.15 | 2026-03-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.64 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.64 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.64 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.64 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.78 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.88 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Multiplan PHCS | PrimaryNetwork | $3.36 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.36 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.36 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.36 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.45 | $1,780.00 | $1,335.00 | 2026-03-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $3.48 | $11,295.00 | $8,471.25 | 2026-04-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.49 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.60 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.60 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.81 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.81 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.81 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.84 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.91 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.02 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $4.08 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.12 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.23 | $2,349.00 | $611.23 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.28 | $892.00 | $847.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.28 | $892.00 | $847.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.37 | $892.00 | $847.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.37 | $892.00 | $847.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.55 | $892.00 | $847.40 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.80 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.80 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.80 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - Medicare | $5.21 | $11,295.00 | $8,471.25 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.43 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.47 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.47 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | MERCY CARE [5017203] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PRESBYTERIAN [50323] | PRESBYTERIAN CENTENNIAL CARE [5032301] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID FLORIDA [5016611] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | STAR - MERCY HEALTH PLAN [5017201] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | CHIP - MERCY HEALTH PLAN [5017202] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID TN [5016610] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID ARIZONA [5016606] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID KENTUCKY [5016609] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID ILLINOIS [5016608] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | MOLINA HC OF WASHINGTON OUT OF STATE MC [5016613] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | BANNER UNIVERSITY FAMILY CARE - OOS [5016614] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID OKLAHOMA [5016607] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID - NHI [5016612] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | COUNTY CARE HP - OOS [5016615] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID [5016603] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.11 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.11 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.23 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $6.23 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $6.26 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $6.26 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Anthem Blue Cross of IN | Medicaid | $6.37 | $1,667.53 | $1,000.52 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $6.37 | $1,667.53 | $1,000.52 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Managed Health Services | Medicaid | $6.37 | $1,667.53 | $1,000.52 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | MDWise | Medicaid | $6.37 | $1,667.53 | $1,000.52 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.48 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.73 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.78 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.82 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.82 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | STAR PLUS - EL PASO FIRST [5017403] | $7.35 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | CHIPS - EL PASO FIRST [5017402] | $7.35 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | STAR - EL PASO FIRST [5017401] | $7.35 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Anthem In | Managed Care Medicaid Plan | $8.28 | $3,080.00 | $1,570.80 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Mhs In | Managed Care Medicaid Plan | $8.28 | $3,080.00 | $1,570.80 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Caresource In | Managed Care Medicaid Plan | $8.69 | $3,080.00 | $1,570.80 | 2026-05-09 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MOLINA HEALTH PLANS OF TEXAS [50176] | CHIP PERINATAL [5017604] | $10.39 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MOLINA HEALTH PLANS OF TEXAS [50176] | STAR - MOLINA HEALTHCARE [5017601] | $10.39 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MOLINA HEALTH PLANS OF TEXAS [50176] | CHIP - MOLINA HEALTH PLAN OF TEXAS [5017602] | $10.39 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MOLINA HEALTH PLANS OF TEXAS [50176] | STAR PLUS - MOLINA HEALTHCARE [5017603] | $10.39 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MDWISE INDIANA MEDICAID [2214] | HB XR INDIANA MEDICAID | $10.96 | $1,205.00 | $723.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MEDICAID INDIANA [2051] | HB XR INDIANA MEDICAID | $10.96 | $1,205.00 | $723.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA MEDICAID IN [3103] | HB XR INDIANA MEDICAID | $10.96 | $1,205.00 | $723.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | CARESOURCE [2031] | HB XR INDIANA MEDICAID | $10.96 | $1,151.00 | $690.60 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM MEDICAID INDIANA [2212] | HB XR INDIANA MEDICAID | $10.96 | $1,151.00 | $690.60 | 2025-12-19 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | DRISCOLL HEALTH PLAN NON-VERIFIED [2000000002] | DRISCOLL HEALTH PLAN NON-VERIFIED [2000001000] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | TMHP [5016001] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP-PCCM [50208] | TMHP-PCCM [35] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PENDING TX MGD MDCD # [50242] | PENDING TX MGD MDCD # [5024201] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | TEXAS EMERGENCY MEDICAID [5016004] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | TMHP - OP DIALYSIS [5020801] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | PENDING TX MDCD # [5016002] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | TMHP - KIDNEY [5016023] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | CSHCN - MEDICAID [50163] | CSHCN [5016301] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TMHP [50160] | PB TMHP PENDING MEDICAID [5016003] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | CHRISTUS HEALTH PLAN MEDICAID [50210] | CHIPS-CHRISTUS HEALTH [56] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COOK CHILDRENS HEALTH PLAN [50177] | STAR - COOK CHILDRENS [5017701] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | WELLPOINT AMERIGROUP [50170] | STAR PLUS - AMERIGROUP [5017004] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COOK CHILDRENS HEALTH PLAN [50177] | STAR KIDS - COOK CHILDRENS [5017703] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | CHRISTUS HEALTH PLAN MEDICAID [50210] | STAR - CHRISTUS HEALTH [5021002] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | WELLPOINT AMERIGROUP [50170] | STAR - AMERIGROUP [5017001] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-INLAND EMPIRE HP OF CA [5032104] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UHC COMMUNITY PLAN [50211] | CHIP - UHC COMMUNITY PLAN [5021104] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-UHC COMM PLAN OF FLORIDA [5032105] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-MOLINA HC OF NEW MEXICO [5032122] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-HP OF SAN JOAQUIN CA [5032103] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PARKLAND COMMUNITY HEALTH PLAN [50190] | CHIP - PARKLAND [5019002] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COOK CHILDRENS HEALTH PLAN [50177] | CHIPS - COOKS CHILDRENS [5017702] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COMMUNITY FIRST PLAN [50184] | STAR KIDS-COMMUNITY FIRST [5018403] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | FIRSTCARE LUBBOCK [50191] | STAR - FIRSTCARE LUBBOCK [5019101] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-CARESOURCE OF OHIO [5032115] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | AETNA [50175] | CHIPS - AETNA [5017502] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UNICARE HEALTH PLANS OF TEXAS [50173] | STAR - UNICARE HEALTH PLAN OF TEXAS [5017301] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OUT OF STATE MEDICAID [5032102] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS UHC OF HAWAII [5032121] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-MOLINA HC OF WASHINGTON [5032117] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | RIGHTCARE - SCOTT & WHITE HEALTH PLAN [50212] | RIGHTCARE-SCOTT&WHITE HLT PLN [64] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-MAGNOLIA HP OF MISSISSIPPI [5032109] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-BUCKEYE COMM HP OF OHIO [5032114] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COMMUNITY HEALTH CHOICE [50185] | STAR-COMMUNITY HEALTH CHOICE [5018501] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PARKLAND COMMUNITY HEALTH PLAN [50190] | PARKLAND HEALTHFIRST [5019003] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | AETNA [50175] | STAR - AETNA [5017501] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UHC COMMUNITY PLAN [50211] | STAR KIDS-UHC COMMUNITY [88] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS UHC COMM OF NEW MEXICO [5032120] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS HEALTH NETWORK [50189] | STAR - TEXAS HEALTH NETWORK [5018901] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-FIDELIS CARE OF NEW YORK [5032112] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS CHILDREN'S HEALTH PLAN [50198] | STAR KIDS-TEXAS CHILDRENS [5019803] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UHC COMMUNITY PLAN [50211] | MDR REPLACEMENT-UHC COMM PLAN [5021103] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | GENERIC COVERAGE MCD MGD CARE [50244] | GENERIC COVERAGE MEDICAID MANAGED CARE [5024401] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PARKLAND COMMUNITY HEALTH PLAN [50190] | CHIPS COMMUNITY 1ST. [6] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS CHILDREN'S HEALTH PLAN [50198] | CHIP - TEXAS CHILDRENS HEALTH PLAN [5019802] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COMM CENTENNIAL BLUE CROSS [50260] | COMM CENTENNIAL BLUE CROSS [5026001] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS HEALTH NETWORK [50189] | CHIP - TEXAS HEALTH NETWORK [5018902] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID - SUNSHINE HEALTH [5032118] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS CHILDREN'S HEALTH PLAN [50198] | STAR - TEXAS CHILDRENS HEALTH PLAN [5019801] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | DELL CHILDRENS HEALTH PLAN [50227] | CHIP - DELL CHILDRENS HEALTH PLAN [5022701] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UHC COMMUNITY PLAN [50211] | STAR - UHC COMMUNITY PLAN [5021101] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COMMUNITY HEALTH CHOICE [50185] | CHIP-COMMUNITY HEALTH CHOICE [5018502] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UNICARE HEALTH PLANS OF TEXAS [50173] | CHIP - UNICARE HEALTH PLAN OF TEXAS [5017302] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-CARESOURCE OF INDIANA [5032106] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | UHC COMMUNITY PLAN [50211] | STAR PLUS - UHC COMMUNITY PLAN [5021102] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EVERCARE OF TEXAS [50171] | STAR - EVERCARE OF TEXAS [5017101] | $11.92 | $49.00 | $9.80 | 2026-03-31 | 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.