95044 — Patch/application Tests
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PATCH/APPLICATION TESTS (HCPCS 95044) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95044?code_type=HCPCS
MLA (9th ed.)
“PATCH/APPLICATION TESTS (HCPCS 95044) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95044?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PATCH/APPLICATION TESTS (HCPCS 95044) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95044?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31–$1,038 (25th–75th percentile) across 1,673 hospitals · 3,257 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95044 — 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
$31
$272 typical
$1,038
The middle 50% of negotiated facility rates for this procedure, measured across 1,673 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. | $272 |
| Physician fee Estimate national typical Medicare $5 × 1.22 commercial. | $6 |
| Likely subtotal | $279 |
Complete-episode estimate (typical)
~$279
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 $31–$1,038.
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 |
|---|---|---|---|---|---|---|---|
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.11 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.11 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.12 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.12 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.12 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.15 | $15.00 | $2.85 | 2026-05-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.00 | $29.45 | 2026-02-20 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.16 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.30 | $240.00 | $240.00 | 2026-02-13 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.70 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.70 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.70 | — | — | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $0.81 | $6.00 | $4.50 | 2026-01-16 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $6,955.00 | $5,216.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $6,955.00 | $5,216.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $1.08 | — | — | 2026-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $1.21 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $1.25 | $6.00 | $4.50 | 2026-01-16 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Upmc | Chip | $1.30 | — | — | 2026-07-19 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Healthplan (Hometown) | Medicare Advantage | $1.39 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | Medicare Advantage | $1.39 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $1.43 | — | — | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Northern Ohio Handicapped Fund (NOHF | All Products | $1.48 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Ohio Crippled Childrens Fund (OCCF | All Products | $1.48 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $1.56 | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $1.84 | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $1.84 | — | — | 2026-08-19 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $8.80 | $8.80 | 2024-12-30 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Amish Church Fund | All Products | $2.05 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Inpatient | Verity Commercial | All Plans | $2.10 | $6.00 | $1.26 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $2.16 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $2.39 | $9.95 | $7.46 | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $2.41 | — | — | 2025-06-27 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $2.41 | — | — | 2025-06-27 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $2.43 | $18.00 | $8.28 | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $493.00 | $246.50 | 2026-07-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $2.53 | — | — | 2025-06-28 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | CIGNA | CIGNA COM ALT HMO PLAN | $2.53 | $6.00 | $3.00 | 2026-03-31 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $2.57 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $2.57 | — | — | 2025-06-27 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | TriWest | Tricare for Life | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $2.57 | — | — | 2025-06-27 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | American Health Plan of Utah | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | St Lukes Health Partners Network | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | TriWest | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | MODA Health Plan | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Voyager | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $2.57 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicaid Plus | $2.57 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $2.57 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicaid | $2.57 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $2.57 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $2.57 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | VACCN | — | — | — | 2026-08-18 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $2.57 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $2.57 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Department Of Veterans Affairs | Node Champva | $2.59 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Tricare | Node Tricare | $2.59 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $2.62 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $2.62 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $2.62 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $2.62 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $2.63 | — | — | 2026-03-04 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $2.63 | $43.00 | $21.93 | 2026-07-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $2.65 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $2.65 | $17.00 | $3.91 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $2.65 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $2.65 | $18.00 | $8.28 | 2026-07-31 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $2.65 | $17.00 | $3.74 | 2026-08-17 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Optum (UHC) | Behavioral Health | $2.67 | $4.10 | $3.08 | 2025-11-11 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $2.69 | $20.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $2.69 | $20.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $2.69 | $20.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $2.69 | $20.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.69 | $20.00 | — | 2025-06-28 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $2.70 | $6.00 | $4.50 | 2026-01-16 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $2.71 | — | — | 2026-03-04 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Traditional | Node Medicare Traditional | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Non Par | Node Medicare Non Par | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Iu Health Plan | Node Iu Health Plan Mcr Adv | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $2.76 | $43.00 | $21.93 | 2026-07-18 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Humana Mcr Adv | Node Humana Mcr Adv | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Managed Health Services | Node Mhs Mcr Adv | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | United Healthcare | Node Uhc Mcr Adv | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Anthem In Mcr Select | Node Anthem In Mcr Select | $2.76 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $2.77 | $18.00 | $11.70 | 2026-03-01 | 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.