96132 — Nrpsyc Tst Eval Phys/qhp 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NRPSYC TST EVAL PHYS/QHP 1ST (CPT 96132) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96132?code_type=CPT
MLA (9th ed.)
“NRPSYC TST EVAL PHYS/QHP 1ST (CPT 96132) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96132?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NRPSYC TST EVAL PHYS/QHP 1ST (CPT 96132) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96132?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $187–$566 (25th–75th percentile) across 1,808 hospitals · 3,745 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96132 — 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
$187
$401 typical
$566
The middle 50% of negotiated facility rates for this procedure, measured across 1,808 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. | $401 |
| Physician fee Estimate national typical Medicare $99 × 1.22 commercial. | $120 |
| Likely subtotal | $522 |
Complete-episode estimate (typical)
~$522
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 $187–$566.
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 | — | — | — | $763.17 | $381.58 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $763.17 | $381.58 | 2024-12-15 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $938.00 | $938.00 | 2026-08-01 | 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 ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $553.00 | — | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.67 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.67 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.67 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.69 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.71 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.73 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.89 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.89 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.91 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.95 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.98 | $182.00 | $172.90 | 2026-02-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,969.24 | $2,580.01 | 2025-11-26 | 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 | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,969.24 | $2,580.01 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.44 | $798.00 | $530.77 | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,016.00 | $508.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.04 | $321.00 | $60.99 | 2026-05-20 | 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 ↗ |
| 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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.46 | — | — | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $3.52 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.82 | — | — | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.94 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.96 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City 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 Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.32 | — | — | 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 ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare Advantage | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | Medicare Advantage | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Blue Cross- Medicare Advantage | Medicare Advantage | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Wellmed | Medicare Advantage | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Tri-West | Federal | $4.38 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| DINI-TOWNSEND HOSPITAL AT NNMH Outpatient | — | — | — | $90.09 | $4.50 | 2026-03-30 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $4.56 | $600.00 | $600.00 | 2026-07-16 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $4.58 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $4.93 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $5.40 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $5.43 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $5.43 | $705.00 | $705.00 | 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 | Aetna | All Commercial Plans | $5.89 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $5.99 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $6.05 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $6.05 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Humana- HMO/PPO/Traditional | HMO/PPO/Traditional | $6.13 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $6.16 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | United Healthcare- HMO/PPO | HMO/PPO | $6.48 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $6.88 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $6.88 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $6.88 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $6.91 | $705.00 | $705.00 | 2026-06-05 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $7.11 | $30.92 | $27.83 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $7.11 | $30.92 | $27.83 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $7.25 | $30.92 | $27.83 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $7.32 | $30.92 | $27.83 | 2026-07-18 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Baylor Scott & White - Firstcare Commercial | PPO | $7.88 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Aetna - HMO/PPO | HMO/PPO | $7.88 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Cigna - HMO/PPO/Traditional | HMO/PPO/Traditional | $7.88 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna/Fuji | $7.92 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Outpatient | Humana- HMO/PPO/Traditional | HMO/PPO/Traditional | $8.05 | $8.75 | $6.56 | 2024-06-28 | MRF ↗ |
| HEMPHILL COUNTY HOSPITAL Inpatient | Blue Cross - PPO/HMO/Blue Advantage | PPO/HMO/Blue Advantage | $8.05 | $8.75 | $6.56 | 2024-06-28 | 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 | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | $8.88 | $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 Sc | Commercial | — | $1,591.80 | $955.08 | 2026-08-03 | 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 ↗ |
| 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 | Medicaid Bluechoice | Medicaid Bluechoice Other Cnty-Healthy Blue | $10.00 | $10.00 | $6.00 | 2026-07-18 | 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 | 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 Absolute Total Care | Medicaid Absolute Total Care | $10.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $10.20 | $30.00 | $9.00 | 2025-08-06 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $11.32 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $11.32 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $11.32 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $11.32 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $11.32 | — | — | 2026-03-28 | 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 ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $12.00 | $30.00 | $21.00 | 2026-03-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $12.60 | $30.00 | $15.00 | 2025-08-06 | MRF ↗ |
| MARION COMMUNTIY 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 CAPITAL 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 PUTNAM 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 ↗ |
| HCA FLORIDA LAKE CITY 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 WEST 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 | 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 PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY 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 FAWCETT HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $13.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.39 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $13.50 | $30.00 | $9.00 | 2025-08-06 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Prime Health | WORKERSCOMP | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $13.50 | $30.00 | $21.00 | 2026-03-06 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL 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 JFK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $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 ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $13.50 | — | — | 2024-10-01 | 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 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 ↗ |
| 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 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 WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $13.84 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST 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 ↗ |
| HCA FLORIDA GULF COAST 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 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 ↗ |
| HCA FLORIDA CAPITAL 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 | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Rockport Healthcare Group | 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 | CorVel Corporation | 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 ST PETERSBURG HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE 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 ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK 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 NORTHSIDE HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | City of Jacksonville | WC | $14.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL 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.