94640 — Inhalation Treatment For Airway Obstruction Or Sputum Production
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inhalation treatment for airway obstruction or sputum production (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.)
“Inhalation treatment for airway obstruction or sputum production (CPT 94640) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94640?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Inhalation treatment for airway obstruction or sputum production (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 $96–$290 (25th–75th percentile) across 3,220 hospitals · 11,202 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$96
$195 typical
$290
The middle 50% of negotiated facility rates for this procedure, measured across 3,220 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $195 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $9 × 1.22 commercial. | $11 |
| Likely subtotal | $205 |
Surgical episode (typical)
~$205
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$3,990
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $903.54 | $451.77 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $903.54 | $451.77 | 2024-12-15 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | AETNA | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | WPS GHA - MAC J5 PART A | — | — | $0.01 | — | 2026-01-01 | 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 | 2025-03-07 | 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 | $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 ↗ |
| 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 ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.23 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.23 | $1.00 | $1.00 | 2026-03-27 | 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 | $273.00 | $204.75 | 2026-03-26 | 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 ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.27 | $1.16 | $1.16 | 2026-03-27 | 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-ALLEG | $0.27 | $1.16 | $1.16 | 2026-03-27 | 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 ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.27 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $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 | COLORADO ACCESS | COLORADO ACCESS | $0.36 | $18.00 | — | 2026-03-31 | 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 | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $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 ↗ |
| University of Arkansas Medical Sciences Inpatient | Humana | Choicecare Medicare Advantage | — | $287.00 | $172.20 | 2026-05-08 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $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 | 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 | BlueCross BlueShield | Medicare Advantage | $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 | 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 ↗ |
| 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 ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $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 ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.45 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.45 | $1.00 | $1.00 | 2026-03-27 | 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 | Blue Cross | BlueLincs HMO | $0.49 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | HealthChoice | Commercial | $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 ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Blue Cross | NativeBlue | $0.49 | $2.60 | $1.30 | 2026-01-01 | 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 ↗ |
| 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 ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.52 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.52 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $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 ↗ |
| 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 ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Arcadian Health Plan | Medicare | $0.54 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | UHC | 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 | Humana | 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 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.57 | $55.15 | $55.15 | 2026-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $0.68 | $1.00 | $0.28 | 2025-02-14 | 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 ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $0.69 | $1.00 | $0.28 | 2025-02-14 | 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 ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | MHACO Government | — | $262.35 | $262.35 | 2025-09-09 | 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 | VIVA | VIVA HEALTH | $0.75 | $1.00 | $1.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.78 | $1.00 | $1.00 | 2026-03-27 | 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 ↗ |
| 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 ↗ |
| ATHENS LIMESTONE HOSPITAL Both | VIVA | VIVA COMMERCIAL | $0.80 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $0.87 | $1.16 | $1.16 | 2026-03-27 | 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 ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.90 | $1.16 | $1.16 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.91 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.91 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.94 | $652.73 | $652.73 | 2026-03-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.96 | $246.00 | $233.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.98 | $246.00 | $233.70 | 2026-02-20 | 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 ↗ |
| 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 | UHC-ALL PLANS | UHC-ALL 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 ↗ |
| 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 | AETNA HMO | AETNA HMO | $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 ↗ |
| 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 ↗ |
| ATHENS LIMESTONE HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $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 ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.00 | $209.00 | $198.55 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.00 | $209.00 | $198.55 | 2026-02-20 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $659.00 | $540.38 | 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 ↗ |
| ATHENS LIMESTONE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $659.00 | $540.38 | 2025-11-26 | 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 ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $1.00 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.00 | $230.00 | $230.00 | 2026-02-13 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $659.00 | $540.38 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.02 | $209.00 | $198.55 | 2026-02-20 | 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 | 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 | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -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 ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-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 ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-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 | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - 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 ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.08 | $106.00 | $68.90 | 2026-03-14 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MCARE ADVAN | MEDICA MCARE ADVAN | $1.14 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC MCARE ADVAN | UHC MCARE ADVAN | $1.14 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MCARE ADVAN | MEDICA MCARE ADVAN | $1.14 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC MCARE ADVAN | UHC MCARE ADVAN | $1.14 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Inpatient | BCBS - MN | Medicaid|All Plans | $1.15 | $5.00 | $3.00 | 2026-02-28 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MN HEALTH CARE | MEDICA MN HEALTH CARE | $1.20 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MSHO MCARE | MEDICA MSHO MCARE | $1.20 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MN HEALTH CARE | MEDICA MN HEALTH CARE | $1.20 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | MEDICA MSHO MCARE | MEDICA MSHO MCARE | $1.20 | $3.00 | $3.00 | 2026-05-12 | MRF ↗ |
| Kpc Promise Hospital Of Phoenix, Llc | Tri Care Healthnet (12100) | — | $1.50 | $330.00 | $330.00 | 2026-06-15 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | CELTIC MEDICARE | CELTIC MEDICARE | $1.50 | $2.00 | $2.00 | 2026-01-15 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $1.60 | $2.00 | $2.00 | 2026-01-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $1.62 | $11.98 | $8.99 | 2026-01-16 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | CELTIC COMMERCIAL-ALL OTHER PLANS | CELTIC COMMERCIAL-ALL OTHER PLANS | $1.65 | $2.00 | $2.00 | 2026-01-15 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $1.82 | $100.00 | $100.00 | 2025-06-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.87 | $381.00 | $361.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.87 | $381.00 | $361.95 | 2026-02-20 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $1.90 | $2.00 | $2.00 | 2026-01-15 | MRF ↗ |
| GRAHAM COUNTY HOSPITAL Outpatient | WPPA (PROVIDERS CARE)-ALL PLANS | WPPA (PROVIDERS CARE)-ALL PLANS | $1.90 | $2.00 | $2.00 | 2026-01-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.91 | $381.00 | $361.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.98 | $381.00 | $361.95 | 2026-02-20 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $2.00 | $3.00 | $2.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $2.00 | $3.00 | $2.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $2.00 | $3.00 | $2.00 | 2025-04-15 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $2.00 | $8.00 | $6.80 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $2.00 | $8.00 | $6.80 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.06 | $381.00 | $361.95 | 2026-02-20 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | UHC | Commercial (PPO/HMO) | $2.07 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Humana | Commercial (PPO/EPO/POS) | $2.08 | $2.60 | $1.30 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | ChoiceCare | Commercial (PPO/EPO/POS) | $2.08 | $2.60 | $1.30 | 2026-01-01 | 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.