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 (HCPCS 94002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94002?code_type=HCPCS
MLA (9th ed.)
“Initial hospital inpatient or observation ventilation assistance and management (HCPCS 94002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94002?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Initial hospital inpatient or observation ventilation assistance and management (HCPCS 94002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94002?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $592–$1,759 (25th–75th percentile) across 3,558 hospitals · 10,741 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$592
$920 typical
$1,759
The middle 50% of negotiated facility rates for this procedure, measured across 3,558 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. | $920 |
| Physician fee Estimate national typical Medicare $86 × 1.22 commercial. | $105 |
| Likely subtotal | $1,025 |
Complete-episode estimate (typical)
~$1,025
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $592–$1,759.
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 |
|---|---|---|---|---|---|---|---|
| NEWMAN MEMORIAL HOSPITAL Both | Medicare A OK JH | Default | — | $0.01 | $0.01 | 2026-07-10 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $4,333.76 | $2,166.88 | 2024-12-15 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | United Healthcare | Default | — | $0.01 | $0.01 | 2026-07-10 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,333.76 | $2,166.88 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $6,038.00 | $4,528.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $7,094.00 | $5,320.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $6,038.00 | $4,528.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $7,094.00 | $5,320.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $6,038.00 | $4,528.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $7,094.00 | $5,320.50 | 2026-09-01 | 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 | STARKids | $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 | CHIP | $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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $4,558.00 | $3,418.50 | 2026-09-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.57 | $1,160.00 | $870.00 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.57 | $1,160.00 | $870.00 | 2025-03-07 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,045.00 | — | 2026-07-01 | 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 ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Oscar | HIX | $1.00 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $5,265.00 | $3,948.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $5,895.00 | $4,421.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $5,265.00 | $3,948.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | 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 | Covered | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | 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 Inpatient | Health Net of California, Inc. | HMO | — | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $18,153.80 | $11,799.97 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $6,038.00 | $4,528.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $7,094.00 | $5,320.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,340.00 | $2,505.00 | 2026-09-02 | 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 Outpatient | United Healthcare | 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 ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $5,895.00 | $4,421.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,885.00 | $1,413.75 | 2026-05-20 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | Meritain | $1.02 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | COMM | $1.02 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.15 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | OON | $1.20 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $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 | Blue Cross Blue Shield | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $1.29 | — | — | 2026-03-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $2,745.00 | $1,372.50 | 2026-07-01 | 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 | Fidelis SecureCare | MGMCR | $2.16 | $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 | National ChoiceCare | WCOMP | $2.40 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Complimentary 737 Multiplan, Value Point | — | $2.40 | $3.00 | — | 2026-07-30 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $2,745.00 | $1,372.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.53 | $4.80 | $4.80 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Wc 54 Multiplan, Value Point | — | $2.55 | $3.00 | — | 2026-07-30 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.60 | $1,195.00 | $442.15 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.63 | $221.00 | $41.99 | 2026-05-20 | 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 | PC Texas Partners | 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 ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.66 | — | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Auto 618 Multiplan, Valuepoint | — | $2.70 | $3.00 | — | 2026-07-30 | 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 ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $3.00 | $5.00 | — | 2026-07-30 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.08 | $3,735.00 | $3,735.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $3.08 | $3,735.00 | $3,735.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.08 | $3,081.00 | $3,081.00 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.36 | $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 | Mega Life | MGMCRPPO | $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 ↗ |
| 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 | HealthSmart Preferred Care | PPO | $3.60 | $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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.81 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.81 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.91 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $3.96 | $828.00 | $828.00 | 2026-07-16 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Tricare East -Humana Government Business | — | $4.00 | $5.00 | — | 2026-07-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.12 | $1,030.00 | $978.50 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.23 | $2,349.00 | $611.23 | 2024-12-31 | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $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 Culver City 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 HOLLYWOOD 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 | 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] | COUNTY CARE HP - OOS [5016615] | $5.88 | $49.00 | $9.80 | 2026-03-31 | 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 | 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 | 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 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 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 KENTUCKY [5016609] | $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 | 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] | OUT OF STATE MEDICAID ILLINOIS [5016608] | $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 [5016603] | $5.88 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5.94 | $22.00 | $5.94 | 2026-07-15 | 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 | Security Health Plan (SHP) | Medicare Advantage | $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 Culver City OutpatientFacility | Blue Shield of California | HMO | $6.26 | $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 ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | 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 | MEDICAID PATHWAYS [270] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | 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 | MEDICAID MDWISE HOOSIER BHS [223] | 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 ANTHEM MAGELLAN HLT [212] | 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 CENPATICO BHS [211] | Indiana Medicaid | $6.37 | $1,937.00 | $1,162.20 | 2026-04-01 | 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 | CARETAKER HIP [232] | 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 ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | 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 ↗ |
| 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 | MEDICAID MANAGED HEALTH [210] | 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 | Anthem Blue Cross of IN | 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 ↗ |
| 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 [200] | 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 ↗ |
| BACON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $6.63 | $1,359.00 | $1,087.20 | 2026-07-15 | 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 Culver City 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 HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.82 | $5,825.08 | $5,825.08 | 2026-03-18 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Aetna Health Inc. | Medicare Advantage | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Christus Exchange | Commercial | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Multiplan | Workers Compensation | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicare Advantage | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Sedgewick | Workers Compensation | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Triwest Va | Commercial | $7.08 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Humana | Medicare Advantage | $7.15 | $12.00 | $12.00 | 2026-07-31 | 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 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] | STAR - EL PASO FIRST [5017401] | $7.35 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Allwell | Medicare Advantage | $7.43 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Work Comp Nm | Work Comp Nm | $7.92 | $22.00 | $10.56 | 2026-07-15 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Superior Foster Kids | Managed Medicaid | $7.99 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Superior Perinate | Managed Medicaid | $7.99 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Superior Chip | Managed Medicaid | $7.99 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Superior Star+Plus | Managed Medicaid | $7.99 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Superior Star | Managed Medicaid | $7.99 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Texas Independence Health | Medicare Advantage | $8.14 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Provider Partners Health | Medicare Advantage | $8.14 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Cigna Healthcare | Commercial | $8.28 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Mhs In | Managed Care Medicaid Plan | $8.28 | $3,080.00 | $1,570.80 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Anthem In | Managed Care Medicaid Plan | $8.28 | $3,080.00 | $1,570.80 | 2026-07-18 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $8.39 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Corcare Healthcare | Commercial | $8.40 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | Humana | Ppo | $8.40 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Caresource In | Managed Care Medicaid Plan | $8.69 | $3,080.00 | $1,570.80 | 2026-07-18 | MRF ↗ |
| OTTO KAISER MEMORIAL HOSPITAL Inpatient | United Healthcare | Commercial | $9.36 | $12.00 | $12.00 | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $10.00 | $53.00 | — | 2026-08-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $1,137.39 | $966.78 | 2026-07-15 | 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.