96130 — Psycl Tst Eval Phys/qhp 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Psycl tst eval phys/qhp 1st (OTHER 96130) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96130?code_type=OTHER
MLA (9th ed.)
“Psycl tst eval phys/qhp 1st (OTHER 96130) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96130?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Psycl tst eval phys/qhp 1st (OTHER 96130) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96130?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $167–$306 (25th–75th percentile) across 28 hospitals · 143 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 96130 — 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 |
|---|---|---|---|---|---|---|---|
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $5.10 | $552.00 | $386.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $5.10 | $552.00 | $386.40 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $5.10 | $552.00 | $386.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $5.10 | $552.00 | $386.40 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $31.80 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $54.38 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $54.38 | — | — | 2026-05-23 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Safety Net | — | $61.50 | $125.00 | — | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $63.61 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $63.61 | — | — | 2026-05-14 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $63.65 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $63.65 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $66.78 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $66.78 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $67.98 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $69.80 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $69.80 | — | — | 2026-05-14 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $70.01 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $70.01 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $70.01 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $70.01 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $70.01 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $70.01 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $70.01 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $70.01 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Bluecare | — | $84.00 | $125.00 | — | 2026-07-15 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $84.52 | — | — | 2026-05-08 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $88.40 | $340.00 | $204.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $88.40 | $340.00 | $204.00 | 2026-07-30 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $88.66 | — | — | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $88.66 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Medicare Advantage | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | C-16 | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Commercial | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $88.66 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Healthscope Benefits | Commercial | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $88.66 | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $88.66 | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $88.66 | — | — | 2026-05-14 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Commercial | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $88.66 | — | — | 2026-05-14 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $88.66 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $88.66 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Multiplan | Commercial | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Commercial | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $404.00 | $303.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Commercial | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna Lifesource | Transplant | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | C-16 | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Municipal Health | Benefit Fund | — | $404.00 | $303.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $88.66 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $89.68 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $89.68 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $95.75 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $95.75 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Uhc | Ppo | $95.78 | $552.00 | $386.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Uhc | Hmo | $95.78 | $552.00 | $386.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Uhc | Hmo | $95.78 | $552.00 | $386.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Uhc | Ppo | $95.78 | $552.00 | $386.40 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $97.28 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $97.28 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $97.28 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $97.28 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $97.53 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $97.53 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $97.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $97.53 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $97.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $97.53 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $97.53 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $97.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $98.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $98.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $98.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $98.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $99.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $99.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $104.39 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $104.39 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $104.66 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $104.66 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $106.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $106.02 | — | — | 2026-05-24 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $106.30 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $106.30 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $106.32 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $106.32 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $106.32 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $106.32 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $106.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $106.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $106.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $106.48 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $106.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $106.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $106.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $106.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $107.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $107.52 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $107.52 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $107.52 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $107.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $107.52 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $107.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $107.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $107.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $107.99 | — | — | 2026-05-23 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $319.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | — | $319.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $319.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Oklahoma Medicaid | — | $108.78 | $319.00 | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $109.14 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $109.14 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $109.50 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $109.51 | — | — | 2026-05-23 | MRF ↗ |
| Prairie View Inc | Humana Medicare Advantage | — | $109.72 | $214.00 | $210.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | Humana Medicare Advantage | — | $109.72 | $210.00 | $199.50 | 2026-07-18 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $110.66 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $110.83 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $110.83 | — | — | 2026-05-13 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $111.30 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $111.30 | $318.00 | $31.80 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $111.63 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $112.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $112.74 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $113.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $113.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $114.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $114.88 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $116.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $116.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $116.34 | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.