94010 — Hc Spirometry
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC SPIROMETRY (CPT 94010) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94010?code_type=CPT
MLA (9th ed.)
“HC SPIROMETRY (CPT 94010) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94010?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC SPIROMETRY (CPT 94010) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94010?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $126–$333 (25th–75th percentile) across 3,092 hospitals · 10,842 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94010 — 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
$126
$215 typical
$333
The middle 50% of negotiated facility rates for this procedure, measured across 3,092 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. | $215 |
| Physician fee Estimate national typical Medicare $30 × 1.22 commercial. | $36 |
| Likely subtotal | $252 |
Complete-episode estimate (typical)
~$252
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,001.75 | $500.88 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,001.75 | $500.88 | 2024-12-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.24 | $20.00 | $3.80 | 2026-01-25 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $290.00 | $217.50 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.44 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.44 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.44 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.44 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.50 | — | — | 2026-05-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.52 | — | — | 2026-05-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.63 | $71.00 | $53.25 | 2025-03-07 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.81 | $326.00 | $120.62 | 2026-03-31 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTHCARE - ALL OTHER PLANS | PREFERRED HEALTHCARE - ALL OTHER PLANS | $0.89 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $0.91 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $0.91 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.91 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.91 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.95 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY-ALL OTHER PLANS | AETNA/COVENTRY-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,283.21 | $2,134.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,283.21 | $2,134.09 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $338.00 | $277.16 | 2025-11-26 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY PPO | AETNA/COVENTRY PPO | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | PPONEXT-ALL PLANS | PPONEXT-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $1.24 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $1.24 | $1.90 | $1.90 | 2026-03-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.31 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.50 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.51 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.51 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.52 | $76.00 | — | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.63 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.63 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.63 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.63 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $600.93 | $600.93 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.68 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.72 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.75 | $801.00 | $417.00 | 2026-04-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.76 | $441.00 | $418.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.78 | $370.00 | $351.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.78 | $370.00 | $351.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.81 | $370.00 | $351.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.81 | $370.00 | $351.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.89 | $370.00 | $351.50 | 2026-02-20 | MRF ↗ |
| WEEKS MEDICAL CENTER BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | Medicare Advantage | $1.94 | $90.00 | $50.40 | 2025-11-12 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.00 | $65.00 | $65.00 | 2026-02-13 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $2.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.07 | $423.00 | $401.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.07 | $423.00 | $401.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.12 | $423.00 | $401.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.20 | $423.00 | $401.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.28 | $423.00 | $401.85 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.33 | $49.50 | $49.50 | 2026-03-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.48 | $1,375.00 | $159.67 | 2024-12-31 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.49 | $53.00 | $53.00 | 2026-03-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $2.60 | $10.40 | $7.28 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $2.60 | $10.40 | $7.28 | 2025-06-28 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.94 | $244.00 | $97.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.94 | $268.00 | $107.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.94 | $244.00 | $97.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.94 | $268.00 | $107.20 | 2026-05-13 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $3.00 | $12.00 | $6.00 | 2025-02-03 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $3.07 | $13.81 | $13.81 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $3.07 | $13.81 | $13.81 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $3.07 | $13.81 | $13.81 | 2024-12-30 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Cigna | Medicare Advantage | $3.18 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | $3.18 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $3.19 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Cigna | Medicare Advantage | $3.19 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Care First of Maryland | Medicare Advantage | $3.22 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $3.22 | $3.61 | — | 2025-01-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.24 | $162.00 | — | 2026-03-31 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Medicare | Medicare Advantage | $3.25 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $3.26 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | John Hopkins | Medicaid Advantage | $3.26 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Kaiser Permanente | Medicaid Advantage | $3.26 | $3.61 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicare Advantage | $3.26 | $3.61 | — | 2025-01-01 | 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.