96111 — Developmental Test Extend
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DEVELOPMENTAL TEST EXTEND (CPT 96111) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96111?code_type=CPT
MLA (9th ed.)
“DEVELOPMENTAL TEST EXTEND (CPT 96111) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96111?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DEVELOPMENTAL TEST EXTEND (CPT 96111) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96111?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $104–$295 (25th–75th percentile) across 432 hospitals · 1,113 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96111 — 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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $6.19 | $256.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $6.80 | $256.65 | — | 2026-08-17 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $17.69 | $131.00 | $98.25 | 2026-01-16 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $18.05 | — | — | 2026-03-17 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS COMMUNITY MCR ADV | BCBS COMMUNITY MCR ADV | $19.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $20.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $20.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $20.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $20.00 | — | — | 2026-04-01 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $20.10 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $20.30 | $67.00 | $46.90 | 2026-01-22 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $20.50 | $205.00 | $205.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $20.50 | $205.00 | $205.00 | 2026-04-15 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Carefirst Administrators | Carefirst Administrators | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc | Ibc | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Blue Cross | Horizon Blue Cross | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Ibc Medicare Advantage | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Federal | Independence Federal | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Bc | Independence Bc | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Empire Plan | Empire Plan | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Carefirst Administrators | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Highmark Blue Cross | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Medicare Advantage | Ibc Medicare Advantage | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc 2021 | Ibc 2021 | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Capital Blue Cross | Capital Blue Cross | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Bcbs Federal | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Local | Ibc Local | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Regence Blue Shield | Regence Blue Shield | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Direct Pos | Keystone Direct Pos | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Amerihealth Administrators | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs Federal | Bcbs Federal | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Regence Blue Shield | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc - Local | Ibc - Local | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Highmark | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Administrators | Independence Administrators | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Bcbs | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Personal Choice | Personal Choice | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Anthem Ppo | Anthem Ppo | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Healthplan East | Keystone Healthplan East | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Anthem Ppo | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Amerihealth New Jersey Hmo | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Capital Blue Cross | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL | Horizon Blue Cross | — | $20.96 | $279.52 | — | 2026-07-30 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs | Bcbs | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth Administrators | Amerihealth Administrators | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth New Jersey Hmo | Amerihealth New Jersey Hmo | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Ibc | Pcsh Ibc | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Of New Jersey | Horizon Of New Jersey | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Hmo | Keystone Hmo | $20.96 | $279.52 | — | 2026-05-08 | MRF ↗ |
| DOUGLAS GARDENS HOSPITAL Both | Work Comp | Hmo | $21.00 | $12.00 | $97.67 | 2026-07-20 | MRF ↗ |
| DOUGLAS GARDENS HOSPITAL Both | Work Comp Health Insurance | Hmo | $21.00 | $12.00 | $97.67 | 2026-07-15 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $21.49 | — | — | 2026-03-04 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $21.50 | $215.00 | $215.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $21.50 | $215.00 | $215.00 | 2026-04-15 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $21.70 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $21.95 | — | — | 2026-03-04 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $23.10 | $231.00 | $231.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $23.10 | $231.00 | $231.00 | 2026-04-15 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $23.78 | $111.00 | $94.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $23.78 | $111.00 | $94.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $24.25 | $111.00 | $94.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $24.25 | $111.00 | $94.35 | 2026-02-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $25.02 | $69.50 | $43.79 | 2026-07-17 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $25.08 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $25.18 | — | — | 2025-10-24 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $25.76 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $26.07 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $26.38 | — | — | 2025-10-24 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $26.78 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Unify [1011101] | — | $26.80 | $67.00 | $53.60 | 2026-05-28 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $27.18 | $131.00 | $98.25 | 2026-01-16 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $27.25 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $27.25 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $27.25 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $27.25 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $27.25 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $27.25 | — | — | 2026-06-30 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $27.80 | $278.00 | $278.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $27.80 | $278.00 | $278.00 | 2026-04-15 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $28.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $28.03 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $28.03 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $28.03 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $28.03 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology UPW | Medicaid HMO | $28.54 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $28.54 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $28.54 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology UPW | Medicaid HMO | $28.54 | — | — | 2026-06-30 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Cigna Healthspring Medicare Advantage | Cigna Healthspring Medicare Advantage | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Aetna Advantra Medicare | Aetna Advantra Medicare | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Keystone First VIP Medicare Advantage | Keystone First VIP Medicare Advantage | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Allwell - PA Health & Wellness - Centene | Allwell - PA Health & Wellness - Centene | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Devoted Health Medicare | Devoted Health Medicare | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Humana Medicare | Humana Medicare | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Wood School | Wood School | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Cigna commercial | Cigna commercial | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Reedman Toll | Reedman Toll | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Humana Military (Tricare) | Humana Military (Tricare) | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Keystone First Medicaid Advantage | Keystone First Medicaid Advantage | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $28.72 | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | Ambetter - Centene | Ambetter - Centene | — | $69.53 | $69.53 | 2025-08-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $29.21 | $84.51 | $84.51 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $29.70 | $84.51 | $84.51 | 2026-03-17 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $30.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $30.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid Managed Generic | Medicaid Managed Generic | $30.00 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | CHOICE CARE - ALL PLANS | CHOICE CARE - ALL PLANS | $30.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid | Medicaid | $30.00 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid Managed Generic | Medicaid Managed Generic | $30.00 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid | Medicaid | $30.00 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | AETNA MCR | AETNA MCR | $30.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $30.27 | $84.51 | $84.51 | 2026-03-17 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Direct Qhp [1120102] | — | $30.68 | $65.00 | $52.00 | 2026-05-28 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $31.05 | $79.83 | $79.83 | 2026-03-16 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH UM [132] Plans | $31.60 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Connectorcare [1050701] | — | $31.62 | $67.00 | $53.60 | 2026-05-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Tufts Direct Qhp [1120102] | — | $31.62 | $67.00 | $53.60 | 2026-05-28 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $31.94 | $82.12 | $82.12 | 2026-03-16 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $32.48 | $58.00 | $43.50 | 2026-05-08 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $33.36 | $256.65 | — | 2026-09-02 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $34.00 | $50.00 | $37.50 | 2026-05-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $34.25 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicaid HMO | $34.25 | — | — | 2026-06-30 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | HNE [11108] | All HEALTH NEW ENGLAND UM [82] Plans | $34.28 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Pa Health And Wellness Medicaid | Pa Health And Wellness Medicaid | $34.50 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Pa Health And Wellness Medicaid | Pa Health And Wellness Medicaid | $34.50 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $34.80 | $58.00 | $43.50 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $34.80 | $58.00 | $43.50 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | AETNA MCR | AETNA MCR | $34.80 | $58.00 | $43.50 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | CHOICE CARE - ALL PLANS | CHOICE CARE - ALL PLANS | $34.80 | $58.00 | $43.50 | 2026-05-08 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $35.10 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $35.10 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | HNE [11108] | All HEALTH NEW ENGLAND UM [82] Plans | $35.63 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Keystone First Medicaid | Keystone First Medicaid | $35.70 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Keystone First Medicaid | Keystone First Medicaid | $35.70 | $535.00 | $535.00 | 2026-07-15 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $35.84 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $35.84 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $35.88 | $205.00 | $205.00 | 2026-04-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | FALLON CONNECTORCARE [10503] | All FALLON HMO UM [99] Plans | $36.02 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Cigna | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $36.40 | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage HMO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $36.40 | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Multiplan/PHCS | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $364.00 | $364.00 | 2026-04-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC UM [126] Plans | $36.67 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC SUREST UM [322] Plans | $36.67 | $76.00 | $76.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Uhc Umr Ut Box 30541 [1111105] | — | $37.05 | $65.00 | $52.00 | 2026-05-28 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $37.11 | $205.00 | $205.00 | 2026-04-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | FALLON CONNECTORCARE [10503] | All FALLON HMO UM [99] Plans | $37.45 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $37.63 | $215.00 | $215.00 | 2026-04-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC UM [126] Plans | $38.12 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC [11111] | All UHC SUREST UM [322] Plans | $38.12 | $79.00 | $79.00 | 2026-03-26 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | BCBS MHCP MCAID | BCBS MHCP MCAID | $38.13 | $141.00 | $105.75 | 2026-06-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS | Uhc Umr Ut Box 30541 [1111105] | — | $38.19 | $67.00 | $53.60 | 2026-05-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $38.40 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $38.40 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $38.40 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $38.40 | $256.00 | $107.52 | 2026-02-28 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $38.50 | $256.65 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $38.50 | $256.65 | — | 2026-08-17 | 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.