94003 — Vent Mgmt Inpat Subq Day
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VENT MGMT INPAT SUBQ DAY (CPT 94003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94003?code_type=CPT
MLA (9th ed.)
“VENT MGMT INPAT SUBQ DAY (CPT 94003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94003?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“VENT MGMT INPAT SUBQ DAY (CPT 94003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94003?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $561–$1,547 (25th–75th percentile) across 2,738 hospitals · 9,923 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94003 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,670.56 | $1,835.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,670.56 | $1,835.28 | 2024-12-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.42 | $799.00 | $599.25 | 2025-03-07 | 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 Outpatient | United Healthcare | Medicare Advantage | — | $10,264.00 | $8,416.48 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $16,536.55 | $10,748.76 | 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 Both | SCAN | Medicare Advantage | — | $10,264.00 | $8,416.48 | 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 Inpatient | Health Net of California, Inc. | 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 ↗ |
| 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 | United Healthcare | POS | — | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,536.55 | $10,748.76 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.83 | $1,155.00 | $427.35 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.85 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.85 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.85 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.92 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.00 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.08 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.45 | $1,571.00 | $1,178.25 | 2026-03-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.61 | $2,008.00 | $611.23 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.69 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.69 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $3.77 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.77 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.92 | $769.00 | $730.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.56 | $930.00 | $883.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.56 | $930.00 | $883.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.65 | $930.00 | $883.50 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $14,807.20 | $9,624.68 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $14,807.20 | $9,624.68 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $14,807.20 | $9,624.68 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.84 | $930.00 | $883.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.02 | $930.00 | $883.50 | 2026-02-20 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Tri Care Healthnet (12100) | — | $5.25 | $975.00 | $975.00 | 2026-06-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.43 | $5,334.68 | $5,334.68 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.47 | $5,440.58 | $5,440.58 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.47 | $5,441.73 | $5,441.73 | 2026-03-18 | 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 | MERCY HEALTH PLAN [50172] | MERCY CARE [5017203] | $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] | 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] | 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 ↗ |
| 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 | 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 KENTUCKY [5016609] | $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] | OUT OF STATE MEDICAID ARIZONA [5016606] | $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 TN [5016610] | $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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $6.23 | $5,334.68 | $5,334.68 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $6.26 | $5,440.58 | $5,440.58 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $6.26 | $5,441.73 | $5,441.73 | 2026-03-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $6.37 | $1,625.04 | $975.03 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Anthem Blue Cross of IN | Medicaid | $6.37 | $1,625.04 | $975.03 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | MDWise | Medicaid | $6.37 | $1,625.04 | $975.03 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $6.37 | $1,062.00 | $637.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Managed Health Services | Medicaid | $6.37 | $1,625.04 | $975.03 | 2026-02-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.78 | $5,334.68 | $5,334.68 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.82 | $5,441.73 | $5,441.73 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.82 | $5,440.58 | $5,440.58 | 2026-03-18 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Humana (4800) | — | $7.00 | $975.00 | $975.00 | 2026-06-15 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Medicare Part A (100) | — | $7.00 | $975.00 | $975.00 | 2026-06-15 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | United Healthcare (12200) | — | $7.00 | $975.00 | $975.00 | 2026-06-15 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID ARIZONA [5016606] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID - NHI [5016612] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | PRESBYTERIAN [50323] | PRESBYTERIAN CENTENNIAL CARE [5032301] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID [5016603] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | COUNTY CARE HP - OOS [5016615] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | STAR - MERCY HEALTH PLAN [5017201] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID ILLINOIS [5016608] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID OKLAHOMA [5016607] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | MERCY CARE [5017203] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID FLORIDA [5016611] | $7.13 | $59.40 | $11.88 | 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] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID TN [5016610] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | BANNER UNIVERSITY FAMILY CARE - OOS [5016614] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | MERCY HEALTH PLAN [50172] | CHIP - MERCY HEALTH PLAN [5017202] | $7.13 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50166] | OUT OF STATE MEDICAID KENTUCKY [5016609] | $7.13 | $59.40 | $11.88 | 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 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 ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Mhs In | Managed Care Medicaid Plan | $8.28 | $2,683.00 | $1,368.33 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Anthem In | Managed Care Medicaid Plan | $8.28 | $2,683.00 | $1,368.33 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Caresource In | Managed Care Medicaid Plan | $8.69 | $2,683.00 | $1,368.33 | 2026-05-09 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | STAR PLUS - EL PASO FIRST [5017403] | $8.91 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | STAR - EL PASO FIRST [5017401] | $8.91 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | EL PASO FIRST [50174] | CHIPS - EL PASO FIRST [5017402] | $8.91 | $59.40 | $11.88 | 2026-03-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $9.32 | $69.00 | $51.75 | 2026-01-16 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $669.00 | $401.40 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $669.00 | $401.40 | 2026-02-12 | 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 ↗ |
| 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 ↗ |
| CHRIST HOSPITAL Outpatient | MEDICAID INDIANA [2051] | HB XR INDIANA MEDICAID | $10.96 | $994.00 | $596.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | CARESOURCE [2031] | HB XR INDIANA MEDICAID | $10.96 | $495.00 | $297.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM MEDICAID INDIANA [2212] | HB XR INDIANA MEDICAID | $10.96 | $495.00 | $297.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | MDWISE INDIANA MEDICAID [2214] | HB XR INDIANA MEDICAID | $10.96 | $994.00 | $596.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | HUMANA MEDICAID IN [3103] | HB XR INDIANA MEDICAID | $10.96 | $994.00 | $596.40 | 2025-12-19 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HOPE Trust | Commercial | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | UMR Hannibal Regional Healthcare System | Commercial | $11.00 | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Healthy Blue | Managed Medicaid | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Homestate Medicaid | Managed Medicaid | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Samaritan Employee Health Plan | Commercial | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $20.00 | $12.00 | 2025-04-25 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $11.42 | $2,495.00 | $1,497.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $11.42 | $2,653.00 | $1,591.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.42 | $2,815.00 | $1,689.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $11.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $11.42 | $2,150.00 | $1,290.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $11.42 | $2,150.00 | $1,290.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $11.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $11.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $11.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.42 | $2,815.00 | $1,689.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $11.42 | $2,150.00 | $1,290.00 | 2026-01-01 | 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 | 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] | 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 | TMHP [50160] | PB TMHP PENDING MEDICAID [5016003] | $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 - OP DIALYSIS [5020801] | $11.55 | $49.00 | $9.80 | 2026-03-31 | 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 | CSHCN - MEDICAID [50163] | CSHCN [5016301] | $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 | TMHP [50160] | TEXAS EMERGENCY MEDICAID [5016004] | $11.55 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $11.82 | $528.00 | $211.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $11.82 | $528.00 | $211.20 | 2026-05-22 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | CHRISTUS HEALTH PLAN MEDICAID [50210] | CHIPS-CHRISTUS HEALTH [5021001] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | COMMUNITY FIRST PLAN [50184] | STAR - COMMUNITY FIRST [5018401] | $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 | CHRISTUS HEALTH PLAN MEDICAID [50210] | STAR - CHRISTUS HEALTH [58] | $11.92 | $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 | 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 | 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 | 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 | COMMUNITY FIRST PLAN [50184] | CHIPS - COMMUNITY FIRST [5018402] | $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 | 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 | 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 | 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 | 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 | COMMUNITY HEALTH CHOICE [50192] | CHIPS - COMMUNITY HEALTH CHOICE [5019201] | $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 | FIRSTCARE LUBBOCK [50191] | CHIP - FIRST CARE LUBBOCK [5019102] | $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 | PARKLAND COMMUNITY HEALTH PLAN [50190] | STAR - PARKLAND [5019001] | $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 | 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 | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-HOME STATE HP OF MISSOURI [5032108] | $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 | COOK CHILDRENS HEALTH PLAN [50177] | STAR KIDS - COOK CHILDRENS [96] | $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 OF MISSISSIPPI [5032110] | $11.92 | $49.00 | $9.80 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-AMERIHEALTH CARITAS LACARE [5032107] | $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 | 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 | 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 | WELLPOINT AMERIGROUP [50170] | CHIPS - AMERIGROUP [5017002] | $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 [59] | $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 | OUT OF STATE MEDICAID [50321] | OOS MEDICAID-HORIZON HEALTH OF NJ [5032111] | $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 | 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 | 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 | UHC COMMUNITY PLAN [50211] | UHC DUAL COMPLETE SELECT - HMO MDR REPL [5021106] | $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 | 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 | UHC COMMUNITY PLAN [50211] | STAR KIDS-UHC COMMUNITY PLAN [5021105] | $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] | AMERIGROUP - KIDNEY [5017003] | $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 | UHC COMMUNITY PLAN [50211] | MDR REPLACEMENT-UHC COMM PLAN [5021103] | $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.