96146 — Psycl/nrpsyc Tst Auto Result
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PSYCL/NRPSYC TST AUTO RESULT (CPT 96146) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96146?code_type=CPT
MLA (9th ed.)
“PSYCL/NRPSYC TST AUTO RESULT (CPT 96146) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96146?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PSYCL/NRPSYC TST AUTO RESULT (CPT 96146) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96146?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$94 (25th–75th percentile) across 1,604 hospitals · 3,299 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96146 — 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
$18
$31 typical
$94
The middle 50% of negotiated facility rates for this procedure, measured across 1,604 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. | $31 |
| Physician fee Estimate national typical Medicare $2 × 1.22 commercial. | $3 |
| Likely subtotal | $34 |
Complete-episode estimate (typical)
~$34
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 $18–$94.
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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.06 | — | — | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.12 | $65.00 | $65.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.12 | $65.00 | $65.00 | 2026-06-03 | 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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.28 | $157.00 | $27.40 | 2024-12-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $0.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $0.43 | — | — | 2026-01-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - PPO | $0.50 | $203.00 | $152.25 | 2026-04-01 | 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 | $82.00 | — | 2026-07-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.70 | $205.00 | $205.00 | 2026-03-20 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.83 | — | — | 2026-08-19 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $0.91 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Advantage - Wellcare | All Plans | $0.93 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Physicians Health Plan Of Northern Indiana | Php Options | $0.99 | $4.00 | $1.20 | 2026-07-17 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Advantage - UHC | All Plans | $1.00 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Aetna | Aetna | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $80.00 | $40.00 | 2026-07-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $1.00 | — | — | 2024-10-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $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 ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $1.00 | $4.00 | $2.00 | 2025-02-03 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Ky Work Comp | Ky Work Comp | $1.01 | $4.00 | $1.44 | 2026-07-17 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $80.00 | $40.00 | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $1.10 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $1.10 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $1.10 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $1.10 | — | — | 2024-10-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $80.00 | $40.00 | 2026-07-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $1.11 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $1.12 | — | — | 2025-12-29 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | BH | $1.12 | $157.00 | $27.13 | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-03 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | HORIZON | BH | $1.12 | $157.00 | $26.76 | 2025-12-31 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UHC MEDICAID [3108] | UHC COMM PLAN MEDICAID [310800] | $1.12 | $145.00 | $116.00 | 2024-12-04 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MERIDIAN MEDICAID [3104] | MERIDIAN MEDICAID [310400] | $1.12 | $145.00 | $116.00 | 2024-12-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-05 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MOLINA MEDICAID [3105] | MOLINA MEDICAID [310500] | $1.12 | $145.00 | $116.00 | 2024-12-04 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $1.12 | — | — | 2025-12-29 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Anthem | All Plans | $1.12 | $7.48 | $4.41 | 2025-01-10 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | BH | $1.12 | $157.00 | $27.11 | 2025-12-31 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv UHC | All Plans | $1.12 | $7.48 | $4.41 | 2025-01-10 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $1.12 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | BH | $1.12 | $157.00 | $27.11 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | HORIZON | BH | $1.12 | $157.00 | $26.76 | 2025-12-31 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $1.12 | — | — | 2026-02-02 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Wellcare | All Plans | $1.13 | $7.48 | $4.41 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $1.13 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | TriWest | Tricare for Life | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Voyager | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicaid | $1.15 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $1.15 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicaid Plus | $1.15 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | MODA Health Plan | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | St Lukes Health Partners Network | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | American Health Plan of Utah | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | VACCN | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | TriWest | — | — | — | 2026-08-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $1.16 | $5.00 | $3.00 | 2026-07-17 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $1.17 | $5.00 | $2.70 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $1.17 | $5.00 | $1.45 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $1.17 | $5.00 | $2.70 | 2025-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Champus | All Plans | $1.18 | $7.48 | $4.41 | 2026-09-19 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $80.00 | $40.00 | 2026-07-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $1.20 | — | — | 2026-09-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Amish Aid | Amish Aid | $1.20 | $4.00 | $1.20 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Self Pay | Self Pay | $1.20 | $4.00 | $1.20 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Lutheran Preferred Network | Lutheran Preferred Chs Employees | $1.20 | $4.00 | $1.44 | 2026-07-17 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon NJ Health | Managed Medicaid | $1.20 | — | — | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Health | Managed Medicaid | $1.20 | — | — | 2026-03-24 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $80.00 | $40.00 | 2026-07-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon NJ Health | Managed Medicaid | $1.20 | — | — | 2026-03-24 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv CTCare | All Plans | $1.21 | $7.48 | $4.41 | 2025-01-10 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $1.22 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $1.26 | — | — | 2026-03-04 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Cigna | Cigna Hmo | $1.29 | $4.00 | $1.44 | 2026-07-17 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $1.30 | — | — | 2026-07-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $13.00 | $13.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $1.30 | $13.00 | $13.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $13.00 | $13.00 | 2026-04-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $1.30 | — | — | 2026-07-18 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $13.00 | $13.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $13.00 | $13.00 | 2026-04-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Physicians Health Plan Of Northern Indiana | Php Classic | $1.30 | $4.00 | $1.20 | 2026-07-17 | 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.