96100 — Pr Psychological Testing
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR PSYCHOLOGICAL TESTING (CPT 96100) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96100?code_type=CPT
MLA (9th ed.)
“PR PSYCHOLOGICAL TESTING (CPT 96100) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96100?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR PSYCHOLOGICAL TESTING (CPT 96100) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96100?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $83–$167 (25th–75th percentile) across 49 hospitals · 76 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96100 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $73.00 | $73.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $73.00 | $73.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $73.00 | $73.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $73.00 | $73.00 | 2026-05-09 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $30.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $42.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $50.25 | — | — | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.24 | — | — | 2026-04-14 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $57.15 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPN | $59.85 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Commercial | $60.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Riverside University Health System | MISP | $60.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Senior | $60.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $61.34 | — | — | 2026-01-25 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $67.50 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $67.98 | — | — | 2026-04-14 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $67.98 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $67.98 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $67.98 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $67.98 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $67.98 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $67.98 | — | — | 2026-04-14 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross of CA | Exchange | $72.63 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | All Other Commercial | $75.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | All Other HMO | $75.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Select/Navigate/Core | $75.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Rider | $75.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Loma Linda University Behavioral Med Ctr InpatientFacility | LLUH Dept of Risk Management | WC | $82.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Alpha Care Medical Group | Medi-Cal | $82.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $85.94 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $85.94 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross of CA | HMO/PPO | $88.09 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Virginia Health Network | Vhn Ultra | $88.20 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $90.00 | — | — | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2026-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Global Benefits Group | Commercial | $90.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | TriValley Medical Group | Commercial/Senior | $90.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Temecula Valley Physicians Medical Group | Commercial | $90.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Loma Linda University Behavioral Med Ctr InpatientFacility | Health Smart | Auto/Commercial | $90.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Loma Linda University Behavioral Med Ctr OutpatientFacility | Aetna of CA | Government/Medicare | $90.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $90.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $90.00 | — | — | 2025-09-05 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna of CA | HMO/PPO | $91.09 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | Commercial | $91.65 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Medicare Advantage | $92.85 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $94.16 | — | — | 2026-04-01 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna of CA | HMO | $96.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $96.02 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $97.04 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Networks By Design | Commercial | $97.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $98.17 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $98.90 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $98.90 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Commercial/Self Funded | $100.05 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Virginia Health Network | Vhn Plus | $100.80 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $101.12 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $101.12 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare of CA | Medi-Cal | $105.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare of CA | Medicare | $105.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Medcost | All Commercial Products | $107.10 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna of CA | PPO | $111.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Loma Linda University Behavioral Med Ctr InpatientFacility | Multiplan | Commercial | $112.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Alpha Care Medical Group | Medicare Advantage/Dual Product | $112.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $112.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | First Health | All Commercial Products | $113.40 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $114.17 | — | — | 2026-04-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Multiplan | All Commercial Products | $115.92 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Vhn | Commercial Products | $119.70 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Johns Hopkins Healthcare | All Products | $119.70 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Phcs | All Commercial Products | $119.70 | $126.00 | $113.40 | 2026-07-18 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Central Health Plan | Commercial | $120.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Loma Linda University Behavioral Med Ctr InpatientFacility | Evernorth Behavioral Health (Cigna Behavioral Health) - HMO | HMO/PPO | $120.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MED ADV | BLUE CROSS MED ADV | $122.65 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CAREMORE MED ADV - ALL PLANS | CAREMORE MED ADV - ALL PLANS | $122.65 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $122.65 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MED ADV | KAISER MED ADV | $122.65 | $645.50 | — | 2026-05-11 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Galaxy Health | WC | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Prime Health Services | Commercial | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Dignity Health | Medicare Advantage | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Dignity Health | Medi-Cal | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Vantage Medical Group | Senior | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Vantage Medical Group | Commercial/Exchange | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Dignity Health | Commercial/Exchange | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Vantage Medical Group | Medi-Cal | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Alpha Care Medical Group | Commercial/Exchange | $127.50 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL HP MED ADV | CENTRAL HP MED ADV | $128.78 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $129.37 | — | — | 2026-04-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $134.28 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $134.28 | — | — | 2025-06-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Health Management Network | EPO/PPO | $135.00 | $150.00 | $67.50 | 2026-02-19 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Ppo | $141.49 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Hmo | $141.49 | — | — | 2026-04-01 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Humana Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Champus Imbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Optum Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Molina Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Hap Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Aetna Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Blue Cross Inpatient Reimbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | United Healthcare Imbursement | — | $167.00 | $167.00 | $167.00 | 2026-07-18 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | UHC MED ADV | UHC MED ADV | $167.83 | $645.50 | — | 2026-05-11 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Cigna | All Products | $227.38 | — | — | 2025-11-26 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $228.56 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $253.42 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $267.93 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $267.93 | — | — | 2025-12-05 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS PPO/HMO - ALL OTHER PLANS | BLUE CROSS PPO/HMO - ALL OTHER PLANS | $278.00 | $645.50 | — | 2026-05-11 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $288.02 | — | — | 2025-12-05 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | VALLEY HP PREFERRED | VALLEY HP PREFERRED | $338.89 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | VALLEY HP COVERED CA | VALLEY HP COVERED CA | $338.89 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | $380.85 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD OF CA - ALL OTHER PLANS | BLUE SHIELD OF CA - ALL OTHER PLANS | $391.17 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | VALLEY HP CLASSIC - ALL OTHER PLANS | VALLEY HP CLASSIC - ALL OTHER PLANS | $406.67 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | UHC PPO/HMO - ALL OTHER PLANS | UHC PPO/HMO - ALL OTHER PLANS | $484.13 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | FIRST HEALTH PPO - ALL PLANS | FIRST HEALTH PPO - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | GREAT WEST PPO - ALL PLANS | GREAT WEST PPO - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CORVEL PPO - ALL PLANS | CORVEL PPO - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BEECH STREET CORP PPO - ALL PLANS | BEECH STREET CORP PPO - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | NX HEALTH NETWORK - ALL PLANS | NX HEALTH NETWORK - ALL PLANS | $548.68 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $568.04 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | HEALTHNET HMO | HEALTHNET HMO | $580.95 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | METRACOMP WC PPO - ALL PLANS | METRACOMP WC PPO - ALL PLANS | $580.95 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | ONE HP PPO - ALL PLANS | ONE HP PPO - ALL PLANS | $580.95 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | HEALTHNET PPO - ALL OTHER PLANS | HEALTHNET PPO - ALL OTHER PLANS | $580.95 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BCE EMERGIS/MULTI PPO - ALL PLANS | BCE EMERGIS/MULTI PPO - ALL PLANS | $580.95 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | ADMAR PPO - ALL PLANS | ADMAR PPO - ALL PLANS | $587.41 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | PACIFIC HLTH ALLIANCE - ALL PLANS | PACIFIC HLTH ALLIANCE - ALL PLANS | $593.86 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | COASTAL HLTHCRE PPO/HMO - ALL PLANS | COASTAL HLTHCRE PPO/HMO - ALL PLANS | $613.23 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CHOICECARE PPO/HMO - ALL PLANS | CHOICECARE PPO/HMO - ALL PLANS | $613.23 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CCN PPO - ALL OTHER PLANS | CCN PPO - ALL OTHER PLANS | $613.23 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | VALLEY HP MCAL | VALLEY HP MCAL | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | MEDI-CAL | MEDI-CAL | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL COAST PPO - ALL OTHER PLANS | CENTRAL COAST PPO - ALL OTHER PLANS | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CCN (W/C) | CCN (W/C) | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MCAL | KAISER MCAL | $645.50 | $645.50 | — | 2026-05-11 | MRF ↗ |
| WEISMAN CHILDRENS REHABILITATION HOSPITAL Inpatient | All Payers / All Plans | — | — | $775.59 | $775.59 | 2026-01-01 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CCAH MCAL - ALL PLANS | CCAH MCAL - ALL PLANS | $1,032.80 | $645.50 | — | 2026-05-11 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | HMO/POS | $4,983.00 | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Humana | All Commercial Plans | $5,538.00 | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | PPO | $8,334.00 | — | — | 2026-03-31 | MRF ↗ |