96130 — Psycl Tst Eval Phys/qhp 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCL TST EVAL PHYS/QHP 1ST (HCPCS 96130) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96130?code_type=HCPCS
MLA (9th ed.)
“PSYCL TST EVAL PHYS/QHP 1ST (HCPCS 96130) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96130?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PSYCL TST EVAL PHYS/QHP 1ST (HCPCS 96130) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96130?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $178–$426 (25th–75th percentile) across 1,820 hospitals · 3,907 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96130 — 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
$178
$301 typical
$426
The middle 50% of negotiated facility rates for this procedure, measured across 1,820 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. | $301 |
| Physician fee Estimate national typical Medicare $100 × 1.22 commercial. | $121 |
| Likely subtotal | $423 |
Complete-episode estimate (typical)
~$423
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 $178–$426.
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,384.29 | $692.14 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,384.29 | $692.14 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 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 OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.46 | $419.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.46 | $419.00 | — | 2026-02-27 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.60 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.60 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.60 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $335.00 | — | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.62 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.63 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.65 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.70 | $236.00 | $236.00 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.79 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.79 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.81 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.87 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.25 | $692.00 | $307.48 | 2024-12-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $2.88 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $2.88 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $2.94 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $2.97 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.08 | $299.00 | $56.81 | 2026-05-20 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.23 | $362.64 | $235.72 | 2026-05-07 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Blue Option Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $3.41 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.44 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.46 | — | — | 2026-03-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.46 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.46 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.94 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.96 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.96 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.29 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.32 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.32 | — | — | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $4.43 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $4.77 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $5.22 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $5.25 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $5.25 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $5.69 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $5.80 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $5.85 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $5.85 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Greenwood Mills | $5.87 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | First Health | First Health Generic | $5.87 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $5.96 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $5.99 | $244.00 | $244.00 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $5.99 | $244.00 | $244.00 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | $6.16 | $244.00 | $244.00 | 2026-01-01 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $6.60 | $33.00 | $7.92 | 2026-06-19 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $6.66 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $6.66 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $6.66 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $6.68 | $682.00 | $682.00 | 2026-06-05 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | PACIFICARE BMG/RYMG GROUPS ONLY | PACIFICARE BMG/RYMG GROUPS ONLY | $7.72 | $33.00 | $7.92 | 2026-06-19 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna/Fuji | $7.92 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Cigna | All Commercial Products | $8.33 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Scma | $8.50 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medcost | Medcost Preferred | $8.80 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Health Plan Of Sc | $8.88 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | $8.88 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | United Healthcare | United Healthcare | $8.98 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna Hmo Ppo Oa Netwk Pos Epo Indem | $9.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Aetna | Mhbp-Aetna | $9.20 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Aetna | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Regence Blueshield of Idaho | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Blue Cross of Idaho | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | PACIFICARE (RMG) - ALL OTHER PLANS | PACIFICARE (RMG) - ALL OTHER PLANS | $9.90 | $33.00 | $7.92 | 2026-06-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Blue Cross of Idaho | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Tricare | POS | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Tricare | POS | $9.90 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | United Healthcare | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Aetna | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Regence Blueshield of Idaho | Medicare Advantage | $9.90 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Blue Choice Of Sc | Medicaid | — | $934.20 | $560.52 | 2026-08-03 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Molina Healthcare Of Sc | Medicaid Molina Healthcare Of Sc | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare United Healthcare | Medicare Uhc Dual & Dsnp | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Wellcare | Wellcare Health Plans Snp | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Absolute Total Care | Medicaid Absolute Total Care | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Molina Marketplace Contracted | Molina Marketplace - Contracted | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Bcbs South Carolina | Medicare Blue/Blue Plus/Blue Saver | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Select Health Of Sc | Medicaid Select Health Of Sc | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Humana Healthy Horizons | Medicaid Humana Healthy Horizons | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-Molina Dua | Healthy Connect Prime-Molina Dual | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Humana | Medicare Humana | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Devoted Health | Medicare Devoted Health | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Molina | Medicare Advantage | $10.00 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicaid Bluechoice | Medicaid Bluechoice Other Cnty-Healthy Blue | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Aetna | Medicare Aetna | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Molina Complete & Choice Care | Medicare Molina Complete & Choice Care | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Pacific Source | Medicare Advantage | $10.30 | $22.52 | $22.52 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Pacific Source | Medicare Advantage | $10.30 | $22.52 | $22.52 | 2026-04-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $62.00 | $24.67 | 2026-03-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-First Choice | Healthy Connect Prime-First Choice | $10.40 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-First Choice | First Choice Vip Sc Dsnp Medicare | $10.40 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Healthy Connect Prime-Wellcare By Atc | Healthy Connect Prime-Wellcare By Atc | $10.50 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medicare Nhc Advantage | Medicare Nhc Advantage | $10.60 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Ambetter-Atc Contracted | Ambetter-Atc Contracted | $11.50 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $11.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $11.70 | — | — | 2024-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Johns Hopkins Healthcare | All Products | $11.91 | $12.54 | $11.29 | 2026-07-18 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $12.04 | $32.00 | $24.00 | 2026-06-26 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCR ADV MAYO | MEDICA MCR ADV MAYO | $12.16 | $32.00 | $24.00 | 2026-06-26 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $12.16 | $32.00 | $24.00 | 2026-06-26 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $12.16 | — | — | 2026-04-16 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $12.60 | — | — | 2024-10-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $12.77 | $910.00 | — | 2026-01-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $13.25 | $342.96 | $123.47 | 2026-09-19 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.39 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.56 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $13.58 | — | — | 2024-10-01 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $13.63 | $32.00 | $24.00 | 2026-06-26 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $13.68 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.74 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.74 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Marion County Schools | WC | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.00 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $14.03 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Careworks (Rockport Community) | WORKERSCOMP | $14.10 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | WC | $14.13 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | 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.