94664 — Evaluation Of Use Of Breathing Device
Cite this view
HANK Price Transparency. (n.d.). Evaluation of use of breathing device (CPT 94664) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94664?code_type=CPT
“Evaluation of use of breathing device (CPT 94664) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94664?code_type=CPT. Accessed .
“Evaluation of use of breathing device (CPT 94664) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94664?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $100–$265 (25th–75th percentile) across 2,909 hospitals · 10,210 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94664 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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.
The middle 50% of negotiated facility rates for this procedure, measured across 2,909 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. | $189 |
| Physician fee Estimate national typical Medicare $20 × 1.22 commercial. | $24 |
| Likely subtotal | $213 |
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 | None | — | — | $297.38 | $148.69 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $297.38 | $148.69 | 2024-12-15 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.19 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.19 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.19 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.19 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $0.19 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $0.24 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $303.00 | $227.25 | 2026-03-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $0.30 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.39 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $0.39 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.39 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $0.39 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $0.41 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $0.42 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $0.43 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $0.45 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $0.47 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.52 | $355.38 | $213.23 | 2025-08-11 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.52 | $204.00 | $153.00 | 2025-03-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.52 | $355.38 | $213.23 | 2025-08-11 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.53 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $0.53 | $0.81 | $0.81 | 2026-03-27 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.54 | $274.00 | $101.38 | 2026-03-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $0.55 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $0.60 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.64 | $61.25 | $61.25 | 2026-04-24 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $0.65 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $0.70 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $0.71 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.75 | $639.15 | $639.15 | 2026-03-18 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $0.75 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.76 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.77 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.77 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.77 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.79 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $0.80 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.83 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $0.85 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.86 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.86 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.86 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.93 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $0.94 | $639.15 | $639.15 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.95 | $197.00 | $187.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.95 | $197.00 | $187.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.97 | $197.00 | $187.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.99 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.99 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $620.00 | $508.40 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $918.89 | $597.28 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $918.89 | $597.28 | 2025-11-26 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $620.00 | $508.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $620.00 | $508.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $620.00 | $508.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $611.00 | $501.02 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.02 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.02 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.02 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.04 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.08 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.10 | $225.00 | $213.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.10 | $225.00 | $213.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.12 | $225.00 | $213.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.12 | $207.20 | $196.84 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.17 | $225.00 | $213.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.22 | $225.00 | $213.75 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.31 | $128.00 | $83.20 | 2026-03-14 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $1.82 | $186.37 | $186.37 | 2025-06-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $2.30 | $17.00 | $12.75 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $245.00 | $147.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $167.00 | $100.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $167.00 | $100.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.52 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.52 | $245.00 | $147.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $2.81 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $2.81 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $2.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $2.81 | $265.00 | $159.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $2.81 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $2.81 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $2.81 | $245.00 | $147.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $2.81 | $276.00 | $165.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $2.81 | $297.00 | $178.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $2.81 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $2.81 | $167.00 | $100.20 | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $2.97 | $1,050.00 | $240.46 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $2.97 | $686.00 | $445.90 | 2025-06-27 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $3.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $3.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Tmsh | $3.00 | — | — | 2026-04-01 | 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.