94799 — Other Service Or Procedure On Lung
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other service or procedure on lung (CPT 94799) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94799?code_type=CPT
MLA (9th ed.)
“Other service or procedure on lung (CPT 94799) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94799?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Other service or procedure on lung (CPT 94799) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94799?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $106–$300 (25th–75th percentile) across 2,250 hospitals · 7,750 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94799 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Commercial/Healthy Ny | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc Empire | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Todays Options | Todays Options | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Employee | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Connection/Exchange | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $350.00 | $245.00 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $350.00 | $245.00 | 2025-01-01 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Ghi/Hip Ppo/Cbp | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Todays Options | Todays Options Medicare | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Magnacare | Magnacare Standard | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Employee | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Access | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Magnacare | Magnacare Standard | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $399.00 | $339.15 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $399.00 | $339.15 | 2025-01-01 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Connection/Exchange | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Mvp | Mvp Exchange | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hp Network | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Todays Options | Todays Options | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Ghi/Hip Ppo/Cbp | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Access | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Select Care (Exchange) | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Todays Options | Todays Options Medicare | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Mvp | Mvp Exchange | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hp Network | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc Empire | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $399.00 | $339.15 | 2025-01-01 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Magnacare | Magnacare Preferred | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | First Health | First Health | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Emblem | Emblem Select Care (Exchange) | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | First Health | First Health | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross Commercial/Healthy Ny | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Magnacare | Magnacare Preferred | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| MARGARETVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $765.00 | $504.90 | 2026-05-13 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY [12708] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION [10902] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP DUAL ACCESS [10916] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2 [15702] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA | — | $496.63 | $322.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE [18801] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP GOLD PPO [10921] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC [13801] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA MEDICARE [10008] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION [10902] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE [10406] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP GOLD HMO [10903] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH [13802] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP [10905] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE [10117] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP ESSENTIAL 1&2 [10911] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL [10909] | — | — | — | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | EMBLEM GHI [113] | EMBLEM GHI|MH CARELON (BEACON OPTION) -MEDICAID | — | $496.63 | $322.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE [18801] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL [10909] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 [10911] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE [10101] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE [10406] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE [10117] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE [10101] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2 [15702] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP GOLD HMO [10903] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY [12708] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO [12201] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | BLUE CROSS & BLUE SHIELD [12702] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP GOLD PPO [10921] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK [11201] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Outpatient | EMBLEM GHI [113] | EMBLEM GHI|MH CARELON (BEACON OPTION) -MEDICAID | — | $496.63 | $322.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO [12201] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP DUAL ACCESS [10916] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK [11201] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC [13801] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) [15701] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA [10001] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA [10001] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) [15701] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS INDEMNITY [127] | BLUE CROSS & BLUE SHIELD [12702] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $19.57 | $19.57 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP [10905] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH [13802] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | — | — | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | AETNA [100] | AETNA MEDICARE [10008] | — | — | — | 2024-12-30 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | BCBS of Western NY | Commercial | $0.04 | $273.00 | $163.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | BCBS of Western NY | Commercial | $0.04 | $1,234.00 | $740.40 | 2026-03-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 | $0.10 | — | — | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.17 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.17 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.23 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.23 | $45.00 | $42.75 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.26 | $128.00 | $96.00 | 2026-03-26 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.30 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Commercial | $0.41 | $1.00 | — | 2025-07-23 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $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 | 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 | HMO | $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 ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $0.44 | $2.84 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $0.44 | $2.84 | — | 2026-03-24 | 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 ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $0.50 | $2.84 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $0.50 | $2.84 | — | 2026-03-24 | 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 ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.75 | $505.00 | $202.00 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.75 | $459.00 | $183.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.75 | $459.00 | $183.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.75 | $505.00 | $202.00 | 2026-05-22 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $0.90 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $0.90 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $0.95 | $2.84 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $0.95 | $2.84 | — | 2026-03-24 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,071.00 | $878.22 | 2025-11-26 | 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 ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $1.00 | $2.00 | $2.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $1.00 | $2.00 | $2.00 | 2025-07-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,283.21 | $2,134.09 | 2025-11-26 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,071.00 | $878.22 | 2025-11-26 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $1.00 | $6.00 | $6.00 | 2025-07-03 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | ESSENCE HEALTHCARE [221] | BJC HB MEDICARE ESSENCE MHS | $1.10 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE ADVANTRA MHS | $1.10 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE GOLD ADVANTAGE MHS | $1.10 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | HUMANA MEDICARE [228] | BJC HB MEDICARE HUMANA MHS | $1.11 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | HUMANA MEDICARE ALT [672] | BJC HB MEDICARE HUMANA MHS | $1.11 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC MHS | $1.12 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | COX HEALTH [757] | BJC HB MEDICARE COXHEALTH MHS | $1.16 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE MHS | $1.17 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | BCBS MEDICARE ALT [649] | BJC HB MEDICARE ANTHEM ADVANTAGE MHS | $1.17 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | BCBS MEDICARE OOS IL [612] | BJC HB MEDICARE ANTHEM ADVANTAGE MHS | $1.17 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | BCBS MEDICARE OOS [611] | BJC HB MEDICARE ANTHEM ADVANTAGE MHS | $1.17 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| DODGE COUNTY HOSPITAL Inpatient | BCBS PPO/PAR | PPO | $1.18 | $2.84 | — | 2026-03-24 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | MEDICA [662] | BJC HB MEDICARE WELLFIRST MHS | $1.18 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| DODGE COUNTY HOSPITAL Inpatient | BCBS PPO/PAR | PPO | $1.18 | $2.84 | — | 2026-05-14 | MRF ↗ |
| MISSOURI BAPTIST SULLIVAN HOSPITAL Both | DEVOTED HEALTH PLAN [847] | BJC HB MEDICARE DEVOTED MHS | $1.21 | $5.00 | $3.00 | 2025-12-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.31 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - HMO/POS/EPO | $1.33 | $318.00 | $238.50 | 2026-04-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial HMO | $1.44 | $3.00 | $3.00 | 2026-04-15 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.47 | $144.00 | $93.60 | 2026-03-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.50 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.51 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.51 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| DODGE COUNTY HOSPITAL Inpatient | Amerigroup Medicaid | PPO | $1.52 | $2.84 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Inpatient | Amerigroup Medicaid | PPO | $1.52 | $2.84 | — | 2026-05-14 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.56 | $153.00 | $99.45 | 2026-03-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.63 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.64 | $566.39 | $566.39 | 2026-03-18 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $1.68 | $4,800.00 | $2,880.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $4,800.00 | $2,880.00 | 2026-05-23 | 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.