95867 — Ndl EMG Cranial Nrv Musc Uni
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NDL EMG CRANIAL NRV MUSC UNI (CPT 95867) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95867?code_type=CPT
MLA (9th ed.)
“NDL EMG CRANIAL NRV MUSC UNI (CPT 95867) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95867?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NDL EMG CRANIAL NRV MUSC UNI (CPT 95867) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95867?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $177–$482 (25th–75th percentile) across 2,137 hospitals · 5,692 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95867 — 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
$177
$299 typical
$482
The middle 50% of negotiated facility rates for this procedure, measured across 2,137 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. | $299 |
| Physician fee Estimate national typical Medicare $107 × 1.22 commercial. | $131 |
| Likely subtotal | $430 |
Complete-episode estimate (typical)
~$430
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 $177–$482.
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 | — | — | — | $727.90 | $363.95 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $727.90 | $363.95 | 2024-12-15 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Wellpoint | Managed Medicaid | $0.19 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $0.19 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $0.20 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $0.20 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $0.21 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Wellpoint | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $0.23 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $0.23 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,364.00 | $1,023.00 | 2026-09-01 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.23 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.23 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Wellpoint | Managed Medicaid | $0.24 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,364.00 | $1,023.00 | 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 BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,364.00 | $1,023.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $564.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Oxford Health Plans | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Oxford Health Plans | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Oxford Health Plans | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Oxford Health Plans | Commercial | $0.74 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon BCBS OMNIA | Commercial | $0.75 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon BCBS OMNIA | Commercial | $0.75 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon BCBS OMNIA | Commercial | $0.75 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon BCBS OMNIA | Commercial | $0.75 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Cigna | Commercial | $0.79 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Cigna | Commercial | $0.79 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Cigna | Commercial | $0.79 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Cigna | Commercial | $0.79 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon BCBS Managed Care | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon BCBS Managed Care | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon BCBS Managed Care | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon BCBS Managed Care | Commercial | $0.80 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon BCBS Indemnity | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon BCBS SHBP | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon BCBS PPO | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon BCBS Indemnity | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon BCBS SHBP | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon BCBS PPO | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon BCBS PPO | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon BCBS Indemnity | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon BCBS PPO | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon BCBS SHBP | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon BCBS SHBP | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon BCBS Indemnity | Commercial | $0.84 | $1.14 | $1.14 | 2026-03-24 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.85 | $474.00 | $307.48 | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,249.00 | $936.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,249.00 | $936.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,969.24 | $2,580.01 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $3,969.24 | $2,580.01 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,364.00 | $1,023.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,276.00 | $957.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,054.00 | $790.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,054.00 | $790.50 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.22 | $102.00 | $19.38 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.62 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $1.70 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | $1,097.10 | $1,097.10 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.14 | $1,184.31 | $1,184.31 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.14 | $1,184.31 | $1,184.31 | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $588.00 | $294.00 | 2026-07-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.29 | — | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.77 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.90 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.90 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.03 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.03 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.16 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.16 | $1,289.00 | $1,224.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.64 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.64 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.64 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.64 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.75 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.75 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.99 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.99 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.22 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.22 | $1,151.00 | $1,093.45 | 2026-02-20 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $7.08 | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $328.00 | $196.80 | 2026-07-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $8.80 | $641.00 | $141.02 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $641.00 | $141.02 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $8.80 | $420.00 | $273.00 | 2026-03-12 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $8.80 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Arkansas Total Care | Managed Medicaid | $8.80 | $600.30 | $600.30 | 2026-07-15 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $8.80 | — | — | 2025-07-01 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $8.80 | — | — | 2025-06-11 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $8.80 | $420.00 | $273.00 | 2026-06-04 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $8.80 | — | — | 2024-11-12 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Summit Community Care | Medicaid | $8.80 | $555.00 | $83.25 | 2026-02-27 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $8.80 | — | — | 2025-06-11 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $8.80 | — | — | 2026-01-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $8.80 | $612.00 | $134.64 | 2026-03-19 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $8.80 | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Empower Healthcare Services | Medicaid | $8.98 | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $8.98 | — | — | 2026-01-13 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $9.06 | $555.00 | $83.25 | 2026-02-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $9.22 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $9.24 | — | — | 2024-11-12 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $9.71 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $9.71 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | MY TRUE ADVANTAGE - ALL PLANS | MY TRUE ADVANTAGE - ALL PLANS | $9.71 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $9.80 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $9.80 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | TODAY'S OPTION MCR ADV-ALL PLANS | TODAY'S OPTION MCR ADV-ALL PLANS | $10.00 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | VIANT BEECH ST MCR ADV | VIANT BEECH ST MCR ADV | $10.00 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $10.00 | $31.31 | $23.48 | 2026-04-27 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | 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.