95800 — Slp Stdy Unattended
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SLP STDY UNATTENDED (CPT 95800) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95800?code_type=CPT
MLA (9th ed.)
“SLP STDY UNATTENDED (CPT 95800) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95800?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SLP STDY UNATTENDED (CPT 95800) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95800?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $182–$712 (25th–75th percentile) across 2,285 hospitals · 5,595 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95800 — 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
$182
$345 typical
$712
The middle 50% of negotiated facility rates for this procedure, measured across 2,285 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. | $345 |
| Physician fee Estimate national typical Medicare $141 × 1.22 commercial. | $172 |
| Likely subtotal | $518 |
Complete-episode estimate (typical)
~$518
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 $182–$712.
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $730.69 | $365.34 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $730.69 | $365.34 | 2024-12-15 | 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 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.79 | $794.00 | $595.50 | 2026-03-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,543.00 | $1,157.25 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.18 | $95.00 | $18.05 | 2026-08-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.34 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.46 | — | — | 2026-05-06 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $643.00 | $321.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.16 | $2,310.00 | $159.67 | 2024-12-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $4.17 | — | — | 2026-07-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.24 | $407.95 | $407.95 | 2026-04-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.30 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.33 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.33 | — | — | 2026-03-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $4.88 | — | — | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.96 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.96 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.35 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.35 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.35 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.37 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.40 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.40 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.49 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.64 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.78 | $1,446.00 | $1,373.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.46 | $1,522.00 | $1,445.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.46 | $1,522.00 | $1,445.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.61 | $1,522.00 | $1,445.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.91 | $1,522.00 | $1,445.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $8.22 | $1,522.00 | $1,445.90 | 2026-02-20 | MRF ↗ |
| BACON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $9.30 | $879.00 | $703.20 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $14.25 | $95.00 | $18.05 | 2026-08-02 | MRF ↗ |
| COMPASS MEMORIAL HEALTHCARE Outpatient | Aetna PPO | PPO | $15.72 | $843.69 | — | 2026-02-12 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicare | Medicare | $20.00 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Va | Medicare | $20.00 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs Medicare | Medicare | $20.00 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $20.22 | $220.00 | $66.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $20.40 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Allwell | Medicare | $20.40 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $20.55 | $411.00 | $411.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $20.55 | $411.00 | $411.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $20.55 | $411.00 | $411.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $20.55 | $411.00 | $411.00 | 2026-03-01 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $22.00 | $220.00 | $66.00 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $22.22 | $220.00 | $66.00 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $22.50 | $150.00 | $90.00 | 2026-03-06 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Pphp | Medicare | $23.00 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $23.75 | $95.00 | $18.05 | 2026-05-19 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $23.76 | $176.00 | $132.00 | 2026-01-16 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $23.83 | $566.00 | $396.20 | 2026-07-15 | MRF ↗ |
| CURRY GENERAL HOSPITAL OutpatientFacility | TRICARE [1193] | HB CC OCU HEALTHNET TRICARE (CAH) | $23.97 | $77.00 | $77.00 | 2026-01-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $24.20 | $1,004.00 | — | 2026-08-17 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $24.50 | $77.00 | $38.50 | 2026-10-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $24.50 | $78.00 | $78.00 | 2026-03-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $24.50 | $77.00 | $38.50 | 2026-10-12 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $24.50 | $77.00 | $38.50 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $24.50 | $77.00 | $38.50 | 2026-07-15 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Mclaren Health Plan Inc | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Buckeye Community Health Plan | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid [3001] | Medicaid Michigan [300106] | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | — | — | — | $77.00 | $38.50 | 2026-04-01 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional | $24.50 | $77.00 | $38.50 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap Midwest | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional | $24.50 | $77.00 | $38.50 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Bcbs Complete | Medicaid Hmo | $24.50 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $24.50 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $24.70 | $95.00 | $6.65 | 2026-08-02 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Hap Midwest | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Buckeye Community Health Plan | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Bcbs Complete | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $24.71 | $214.00 | $85.60 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicare | $25.00 | $80.00 | $40.00 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $25.35 | $79.00 | $39.50 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.48 | $409.20 | $204.60 | 2025-12-31 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $25.52 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $25.52 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $25.52 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Amerihealth Michigan Inc | Medicare Advantage | $25.74 | $214.00 | $85.60 | 2026-07-18 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Aetna Bayada Employer Group | Hmo | — | $871.00 | $783.90 | 2026-09-20 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $26.61 | $1,004.00 | — | 2026-08-17 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $26.61 | $226.00 | $122.04 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $26.61 | $226.00 | $122.04 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $26.61 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $441.81 | $38.51 | 2025-01-19 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $26.85 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $26.85 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $26.85 | $172.00 | $154.80 | 2024-07-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $26.95 | $78.00 | $78.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $26.95 | $78.00 | $78.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $26.95 | $78.00 | $78.00 | 2026-03-23 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $27.44 | $226.00 | $65.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $27.44 | $226.00 | $65.54 | 2025-10-01 | 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.