95806 — Sleep Study Unatt&resp Efft
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SLEEP STUDY UNATT&RESP EFFT (CPT 95806) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95806?code_type=CPT
MLA (9th ed.)
“SLEEP STUDY UNATT&RESP EFFT (CPT 95806) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95806?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SLEEP STUDY UNATT&RESP EFFT (CPT 95806) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95806?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $173–$649 (25th–75th percentile) across 2,251 hospitals · 6,655 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95806 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$173
$334 typical
$649
The middle 50% of negotiated facility rates for this procedure, measured across 2,251 hospitals. Surgeon & anesthesia 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. | $334 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $103 × 1.22 commercial. | $126 |
| Likely subtotal | $460 |
Surgical episode (typical)
~$460
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,244
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional 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 |
|---|---|---|---|---|---|---|---|
| GROSSMONT HOSPITAL Inpatient | Humana | Choice Care Network | $0.52 | $1,024.00 | $768.00 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $0.52 | $1,024.00 | $768.00 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,524.82 | $1,641.13 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,524.82 | $1,641.13 | 2025-11-26 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.28 | $70.00 | $70.00 | 2026-03-09 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.38 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $1.45 | — | — | 2026-05-06 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $1.83 | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $381.00 | $228.60 | 2026-05-23 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.85 | $919.00 | $340.03 | 2026-03-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $3.31 | $1,024.00 | $768.00 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.46 | $1,925.00 | $159.67 | 2024-12-31 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.80 | $910.97 | $546.58 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.80 | $910.97 | $546.58 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.30 | — | — | 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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.33 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.55 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.67 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.67 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.79 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.79 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.92 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.92 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.96 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.96 | — | — | 2026-03-18 | 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 ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina Medi-Cal | $5.56 | $1,024.00 | $768.00 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.90 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.90 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.90 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.90 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.02 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.02 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $6.02 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $6.02 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.27 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.27 | $1,229.00 | $1,167.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.34 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.34 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.34 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.34 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.47 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.47 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.73 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.73 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.99 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.99 | $1,294.00 | $1,229.30 | 2026-02-20 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $19.00 | $6.65 | 2026-05-08 | MRF ↗ |
| ST MARY'S MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $12.91 | $1,091.15 | $191.00 | 2025-12-09 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $12.91 | $771.43 | $191.00 | 2025-12-09 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $12.91 | $771.43 | $215.00 | 2026-03-17 | MRF ↗ |
| ST MARY'S MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $12.91 | $1,091.15 | $215.00 | 2026-03-17 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $14.88 | $989.00 | $642.85 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $14.88 | $989.00 | $642.85 | 2025-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $16.67 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $16.67 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $16.67 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $16.67 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareSource | CareSource | $17.17 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WPS [600005] | TRICARE WPS [60000501] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WPS [600005] | TRICARE WPS [60000501] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WPS [600005] | TRICARE WPS [60000501] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WPS [600005] | TRICARE WPS [60000501] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | — | $83.00 | $49.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $178.00 | $106.80 | 2025-01-17 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $19.17 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Iowa Health Advantage | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Medicare Community Plan Uhc | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Molina Medicare Healthcare | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Ambetter | Commercial | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Health Partners | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Champva | Commercial | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Uhc | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Champus | Commercial | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $19.61 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $19.86 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $20.05 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $20.33 | $107.00 | $28.89 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $20.33 | $107.00 | $28.89 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $20.33 | $107.00 | $28.89 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $20.33 | $107.00 | $28.89 | 2026-01-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $917.00 | $596.05 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $917.00 | $596.05 | 2025-01-01 | MRF ↗ |
| ASTERA HEALTH Inpatient | BLUE PLUS PMAP [40002] | BLUE PLUS PMAP [400054] | $20.89 | $107.31 | $74.46 | 2026-02-20 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $21.08 | $759.88 | $418.84 | 2025-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $22.28 | $165.00 | $123.75 | 2026-01-16 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.38 | $1,243.00 | $497.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.38 | $1,243.00 | $497.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.38 | $1,367.00 | $546.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $22.38 | $1,367.00 | $546.80 | 2026-05-22 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $22.69 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $22.91 | $132.00 | $99.00 | 2026-02-14 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $23.04 | $759.88 | $418.84 | 2025-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicaid | $23.70 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $23.70 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Centene | Peach State Medicaid | $23.70 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $23.70 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | CareSource | CareSource | $24.41 | $132.00 | $99.00 | 2026-02-15 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Health Partners | Commercial | $24.42 | $37.00 | $29.60 | 2026-05-09 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | Molina Healthcare of Washington | Medicaid | $24.62 | $398.90 | $159.56 | 2025-09-24 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Medicare Advantage | $24.84 | $69.00 | $58.65 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meadow Brook | Commercial | $24.84 | $69.00 | $58.65 | 2026-04-17 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $25.20 | $892.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $25.20 | $892.00 | — | 2025-06-28 | 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.