94640 — Airway Inhalation Treatment
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AIRWAY INHALATION TREATMENT (CPT 94640) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94640?code_type=CPT
MLA (9th ed.)
“AIRWAY INHALATION TREATMENT (CPT 94640) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94640?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“AIRWAY INHALATION TREATMENT (CPT 94640) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94640?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $92–$292 (25th–75th percentile) across 4,018 hospitals · 11,412 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94640 — 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
$92
$195 typical
$292
The middle 50% of negotiated facility rates for this procedure, measured across 4,018 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. | $195 |
| Physician fee Estimate national typical Medicare $9 × 1.22 commercial. | $11 |
| Likely subtotal | $205 |
Complete-episode estimate (typical)
~$205
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 $92–$292.
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $903.54 | $451.77 | 2024-12-15 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | United Healthcare | Default | — | $0.01 | $0.01 | 2026-07-10 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | WPS GHA - MAC J5 PART A | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | AETNA | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| NEWMAN MEMORIAL HOSPITAL Both | Medicare A OK JH | Default | — | $0.01 | $0.01 | 2026-07-10 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $903.54 | $451.77 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Oscar | HIX | $0.20 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.23 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.23 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $412.00 | $309.00 | 2026-09-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.23 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $336.00 | $252.00 | 2026-09-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.23 | $182.00 | $136.50 | 2025-03-07 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.23 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.23 | $182.00 | $136.50 | 2026-07-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.24 | $320.00 | $118.40 | 2026-03-31 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.25 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.25 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $270.00 | $202.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $273.00 | $204.75 | 2026-03-26 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $336.00 | $252.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $412.00 | $309.00 | 2026-09-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Oscar | HIX | $0.29 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MBN | $0.30 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $412.00 | $309.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $336.00 | $252.00 | 2026-09-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MBN | $0.33 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Freedom Health | MCR | $0.34 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Freedom Health | MCR | $0.34 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.36 | $18.00 | — | 2026-03-31 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Bright Health | HIX | $0.38 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PPO | $0.39 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | NWB | $0.39 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | NWB | $0.39 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | QHP | $0.39 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PPO | $0.39 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | QHP | $0.40 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | HMO | $0.40 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply | MGMCR | $0.40 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | HMO | $0.40 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply | MGMCR | $0.41 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | SBN | $0.41 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.41 | — | — | 2026-07-15 | MRF ↗ |
| University of Arkansas Medical Sciences Inpatient | Humana | Choicecare Medicare Advantage | — | $287.00 | $172.20 | 2026-05-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | SBN | $0.42 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply Healthcare | HIX | $0.44 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.45 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.45 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.45 | $682.00 | $682.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.45 | $682.00 | $682.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.45 | $682.00 | $682.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.45 | $682.00 | $682.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.45 | $545.00 | $545.00 | 2026-07-15 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.45 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.45 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.45 | $545.00 | $545.00 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | NBN | $0.46 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | NBN | $0.46 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | MGMCR | $0.47 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.48 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.48 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | HealthChoice | Commercial | $0.49 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,679.00 | $1,259.25 | 2026-09-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | NativeBlue | $0.49 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | BlueLincs HMO | $0.49 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Blue Advantage PPO | $0.49 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | PPO | $0.50 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | HMO | $0.50 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.50 | $32.00 | $6.08 | 2026-05-20 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | MGMCR | $0.50 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.52 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.52 | $459.91 | $275.95 | 2025-08-11 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | HMO | $0.52 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | PPO | $0.52 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.52 | $459.91 | $275.95 | 2025-08-11 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.52 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | PPO | $0.53 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | HMO | $0.53 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | UHC | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Arcadian Health Plan | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Humana | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Cigna Healthspring | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Choice PPO | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Preferred PPO | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | ChoiceCare | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-07-08 | 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 | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | PPO | $0.56 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | HMO | $0.56 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.57 | $55.15 | $55.15 | 2026-04-24 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | OptionsPPO | $0.57 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| COVINGTON COUNTY HOSPITAL CAH Both | Humana | Medicare Advantage | $0.58 | $312.76 | $156.38 | 2025-01-10 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | OptionsPPO | $0.59 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $469.00 | — | 2026-07-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HMOFI | $0.63 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HMOFI | $0.64 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.64 | $5.00 | — | 2026-07-31 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PHS | $0.65 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $0.65 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Ipa - Usa Health Ipa | Standard | — | $427.33 | $363.23 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $0.68 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $0.68 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.68 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $0.68 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $0.69 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $0.69 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.69 | $5.00 | — | 2026-07-31 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PHS | $0.69 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $0.69 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | ASOEO | $0.70 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | MHACO Commercial | — | $262.35 | $262.35 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | MHACO Government | — | $262.35 | $262.35 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | MHACO Commercial | — | $262.35 | $262.35 | 2025-09-09 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.72 | $5.00 | — | 2026-07-31 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | MHACO Government | — | $262.35 | $262.35 | 2025-09-09 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | ASOEO | $0.74 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.75 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.75 | $652.73 | $652.73 | 2026-03-18 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.78 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.80 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | HIX | $0.80 | $2.50 | $2.50 | 2024-10-01 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | VIVA | VIVA COMMERCIAL | $0.80 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | VIVA | VIVA COMMERCIAL | $0.80 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.80 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | ASA | $0.80 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Ipa - Lighthouse Ipa | Standard | — | $427.33 | $363.23 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | HIX | $0.85 | $2.65 | $2.65 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.87 | $1.16 | $1.16 | 2026-03-27 | 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 ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.90 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Both | BCBS FEP - Blue Cross | Blue Cross | — | $352.00 | $281.60 | 2026-06-16 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.91 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.91 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.91 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | Traditional | $0.93 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.93 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| DALLAS COUNTY MEDICAL CENTER Outpatient | Vaccn | Medicare | $0.94 | $2.00 | $2.00 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.94 | $523.00 | $210.25 | 2024-12-31 | MRF ↗ |
| DALLAS COUNTY MEDICAL CENTER Outpatient | Uhc Medicare | Medicare | $0.94 | $2.00 | $2.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY MEDICAL CENTER Outpatient | Bcbs Health Advantage Medicare Hmo | Medicare | $0.94 | $2.00 | $2.00 | 2026-07-15 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| DALLAS COUNTY MEDICAL CENTER Outpatient | Medicare | Medicare | $0.94 | $2.00 | $2.00 | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.94 | $652.73 | $652.73 | 2026-03-18 | MRF ↗ |
| DALLAS COUNTY MEDICAL CENTER Outpatient | Caresource Medicare Adv | Medicare | $0.94 | $2.00 | $2.00 | 2026-07-15 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $0.95 | $39.60 | — | 2026-08-17 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.96 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.98 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | 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 ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-07-08 | 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 ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | 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 | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER 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 | 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 | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $642.02 | $417.31 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $642.02 | $417.31 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $223.00 | $167.25 | 2026-05-20 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $1.00 | $1.00 | $1.00 | 2026-03-25 | 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.