94727 — Pulm Function Test By Gas
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PULM FUNCTION TEST BY GAS (CPT 94727) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94727?code_type=CPT
MLA (9th ed.)
“PULM FUNCTION TEST BY GAS (CPT 94727) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94727?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PULM FUNCTION TEST BY GAS (CPT 94727) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94727?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $137–$347 (25th–75th percentile) across 2,970 hospitals · 8,419 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94727 — 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
$137
$221 typical
$347
The middle 50% of negotiated facility rates for this procedure, measured across 2,970 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. | $221 |
| Physician fee Estimate national typical Medicare $50 × 1.22 commercial. | $61 |
| Likely subtotal | $281 |
Complete-episode estimate (typical)
~$281
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 $137–$347.
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 | — | — | — | $584.56 | $292.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $584.56 | $292.28 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,386.00 | $1,039.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $287.00 | $215.25 | 2026-03-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,386.00 | $1,039.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,386.00 | $1,039.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.35 | $29.00 | $5.51 | 2026-05-20 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $0.35 | $288.00 | $144.00 | 2026-03-23 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $995.00 | $746.25 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $430.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.86 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.90 | — | — | 2026-05-06 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,386.00 | $1,039.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | 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 Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,711.00 | $1,283.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $901.00 | $675.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| Vibra Hospital Of Western Mass - Central Campus | Multiplan Wc 54 Multiplan, Value Point | — | $1.00 | $1.00 | — | 2026-07-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $901.00 | $675.75 | 2026-09-02 | 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 Both | SCAN | Medicare Advantage | — | $499.00 | $409.18 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $901.00 | $675.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $901.00 | $675.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Vibra Hospital Of Western Mass - Central Campus | Multiplan Complimentary 737 Multiplan, Value Point | — | $1.00 | $1.00 | — | 2026-07-31 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $901.00 | $675.75 | 2026-09-02 | MRF ↗ |
| Vibra Hospital Of Western Mass - Central Campus | Multiplan Auto 618 Multiplan, Valuepoint | — | $1.00 | $1.00 | — | 2026-07-31 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $901.00 | $675.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $1.06 | $8.25 | — | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $1.13 | $8.25 | — | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| Vibra Hospital Of Denver | Medicaid South Dakota 190 | — | $1.18 | $2.79 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $1.19 | $8.25 | — | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.28 | — | — | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.31 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.32 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.35 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.35 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.39 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.39 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.42 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.42 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.50 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.51 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.51 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Complimentary 737 Multiplan, Value Point | — | $1.60 | $2.00 | — | 2026-07-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.63 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $3,147.39 | $3,147.39 | 2026-03-18 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Wc 54 Multiplan, Value Point | — | $1.70 | $2.00 | — | 2026-07-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.74 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.74 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.74 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.74 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.78 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.78 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts | Multiplan Auto 618 Multiplan, Valuepoint | — | $1.80 | $2.00 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Denver | Tricare West Healthnet 232 | — | $1.81 | $2.79 | — | 2026-07-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.85 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.85 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.92 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.92 | $356.00 | $338.20 | 2026-02-20 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - PPO | $1.95 | $709.00 | $531.75 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $1.97 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| Vibra Hospital Of Denver | Multiplan Complimentary 737 Multiplan, Value Point | — | $2.23 | $2.79 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Denver | Tricare 765 | — | $2.23 | $2.79 | — | 2026-07-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.28 | $1,265.00 | $159.67 | 2024-12-31 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $2.35 | $1,077.00 | $417.00 | 2026-04-02 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | $2.41 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Cigna | Medicare Advantage | $2.41 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Cigna | Medicare Advantage | $2.42 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $2.42 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $2.45 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Care First of Maryland | Medicare Advantage | $2.45 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $2.47 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicare Advantage | $2.47 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Medicare | Medicare Advantage | $2.47 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | John Hopkins | Medicaid Advantage | $2.47 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Kaiser Permanente | Medicaid Advantage | $2.47 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | John Hopkins | Medicaid Advantage | $2.49 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | United Healthcare Medicaid | Medicaid | $2.49 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Kaiser Permanente | Medicaid Advantage | $2.49 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Wellpoint Medicaid | Medicaid | $2.49 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | United Healthcare Medicaid | Medicaid | $2.50 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Wellpoint Medicaid | Medicaid | $2.50 | $2.74 | — | 2025-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $556.00 | $278.00 | 2026-07-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | John Hopkins | Medicaid Advantage | $2.50 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Kaiser Permanente | Medicaid Advantage | $2.50 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Veterans Administration | All Products | $2.51 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Medstar MD Health Choice | All Products | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | MPC | Medicaid | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Priority Partners | All Products | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Dept of Health & Mental Hygiene | Medicaid | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $2.53 | $253.36 | $190.02 | 2026-07-31 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Aetna Medicaid | Medicaid | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Maryland Physicians Care | All Products | $2.53 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Aetna Better Health | All Products | $2.56 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Univ of Maryland Health Partners | All Products | $2.57 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Department of Corrections | Medicaid | $2.58 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Amerihealth Caritas Medicaid | Medicaid Advantage | $2.58 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | MARYLAND BREAST & CERVICAL PROGRAM | All Products | $2.58 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Aetna | All Products | $2.67 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Aetna Domestic | All Products | $2.67 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | John Hopkins Health Plan | All Products | $2.67 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | MERITAIN | All Products | $2.67 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Kaiser Domestic | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | US Family Health Plan | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Care First of Maryland | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Care First Blue Cross | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | United Healthcare | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Cigna EAP | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL InpatientFacility | Kaiser Permanente | All Products | $2.68 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Care First Blue Cross | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | United Healthcare | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | John Hopkins Health Plan | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | US Family Health Plan | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Cigna EAP | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Medstar DC Health Family | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Care First of Maryland | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Kaiser Domestic | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Kaiser Permanente | All Products | $2.69 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | Humana | All Products | $2.71 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | GEHA | All Products | $2.71 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | HUMANA | Tricare | $2.71 | $2.74 | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | CAREFIRST | All Products | $2.71 | $2.74 | — | 2025-01-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Sanford Medicaid Expansion (862) | — | $2.72 | $8.25 | — | 2026-07-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $2.75 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | United Healthcare | All Commercial Plans | $2.90 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.00 | $563.00 | $563.00 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $3.01 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $3.03 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $3.03 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $3.04 | $253.36 | $190.02 | 2026-07-17 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Cal MediConnect | $3.15 | $709.00 | $531.75 | 2026-04-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid South Dakota 190 | — | $3.22 | $8.25 | — | 2026-07-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $3.28 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $3.29 | $253.36 | $190.02 | 2026-08-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $3.34 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $3.37 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $3.37 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $3.43 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $3.55 | $253.36 | $190.02 | 2026-08-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $3.66 | $300.00 | $120.00 | 2026-07-18 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $3.66 | $330.00 | $132.00 | 2026-07-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $3.84 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $3.84 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $3.84 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $3.85 | $393.00 | $393.00 | 2026-06-05 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $3.89 | $8.25 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Special Needs Medica Complete Solution 971 | — | $3.89 | $8.25 | — | 2026-07-31 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $3.92 | $737.00 | $737.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.92 | $737.00 | $737.00 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Medicare Advantage | — | $4.13 | $8.25 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $4.13 | $8.25 | — | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $4.35 | $29.00 | $5.51 | 2026-05-20 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $66.91 | $66.91 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $66.91 | $66.91 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $66.91 | $43.49 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.50 | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $66.91 | $66.91 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $20.23 | $20.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $66.91 | $66.91 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $66.91 | $66.91 | 2024-12-30 | 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.