95970 — Alys Npgt Without Prgrmg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALYS NPGT W/O PRGRMG (CPT 95970) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95970?code_type=CPT
MLA (9th ed.)
“ALYS NPGT W/O PRGRMG (CPT 95970) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95970?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ALYS NPGT W/O PRGRMG (CPT 95970) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95970?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $104–$284 (25th–75th percentile) across 2,037 hospitals · 4,568 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95970 — 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
$104
$151 typical
$284
The middle 50% of negotiated facility rates for this procedure, measured across 2,037 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. | $151 |
| Physician fee Estimate national typical Medicare $16 × 1.22 commercial. | $20 |
| Likely subtotal | $171 |
Complete-episode estimate (typical)
~$171
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 $104–$284.
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 | — | — | — | $521.88 | $260.94 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $521.88 | $260.94 | 2024-12-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.26 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.26 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.26 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.26 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.27 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.28 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.34 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.34 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HEALTH CHOICE AZ | HEALTH CHOICE AZ | $0.35 | $82.00 | $28.70 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | APIPA - AHCCCS-ALL OTHER PLANS | APIPA - AHCCCS-ALL OTHER PLANS | $0.35 | $82.00 | $28.70 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | CARE 1ST MCAID | CARE 1ST MCAID | $0.37 | $82.00 | $28.70 | 2026-02-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.37 | $69.00 | $65.55 | 2026-02-20 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | MERCY CARE AHCCCS DDD | MERCY CARE AHCCCS DDD | $0.39 | $82.00 | $28.70 | 2026-02-25 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | $0.48 | $2.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | $0.48 | $2.00 | — | 2026-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.52 | $290.00 | $127.48 | 2024-12-31 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | $0.52 | $2.00 | — | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.54 | $93.00 | $17.67 | 2026-05-20 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.56 | — | — | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $269.00 | — | 2026-07-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $0.72 | $361.00 | — | 2026-01-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $0.72 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $0.76 | $361.00 | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $287.00 | $215.25 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,074.29 | $698.29 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,396.56 | $907.76 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $242.00 | $181.50 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $1.28 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | FULLY | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CARE FIRST | ALL PRODUCTS | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH DAP | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $1.31 | $361.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $1.45 | $361.00 | — | 2026-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.14 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.14 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $458.00 | $229.00 | 2026-07-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.80 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.80 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.80 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $3.00 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $3.20 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $3.40 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $3.40 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $3.40 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $3.40 | $4.00 | $2.00 | 2026-07-18 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $4.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $4.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $4.07 | — | — | 2026-01-01 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $4.29 | $70.00 | $52.50 | 2026-07-13 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $4.29 | $70.00 | $52.50 | 2026-04-21 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $4.56 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $5.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $5.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $5.46 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $6.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $6.24 | — | — | 2026-07-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $6.45 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $6.45 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $6.45 | $43.00 | $27.95 | 2026-06-04 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $7.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $7.50 | $30.00 | $19.50 | 2026-06-08 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $7.52 | $139.00 | $83.40 | 2026-01-09 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | IOWA TOTAL CARE-ALL PLANS | IOWA TOTAL CARE-ALL PLANS | $7.67 | $139.00 | $83.40 | 2026-01-09 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $7.75 | $31.00 | — | 2024-06-28 | MRF ↗ |
| SGMC HEALTH | Humana | — | $7.91 | $49.00 | $36.75 | 2026-07-30 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $8.00 | $37.00 | $18.00 | 2025-02-03 | MRF ↗ |
| CHI ST ALEXIUS HEALTH WILLISTON Outpatient | Medica | Medicare|All Plans | $8.36 | $19.00 | $11.02 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH WILLISTON Outpatient | Medica | Medicare|All Plans | $8.36 | $19.00 | $11.02 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH WILLISTON Outpatient | BCBS - ND | Medicare|All Plans | $8.53 | $19.00 | $11.02 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH WILLISTON Outpatient | BCBS - ND | Medicare|All Plans | $8.53 | $19.00 | $11.02 | 2026-02-28 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $8.55 | $93.00 | $27.90 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $8.91 | $66.00 | $49.50 | 2026-01-16 | 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.