96156 — Hlth Bhv Assmt/reassessment
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HLTH BHV ASSMT/REASSESSMENT (CPT 96156) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96156?code_type=CPT
MLA (9th ed.)
“HLTH BHV ASSMT/REASSESSMENT (CPT 96156) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96156?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HLTH BHV ASSMT/REASSESSMENT (CPT 96156) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96156?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $97–$274 (25th–75th percentile) across 1,732 hospitals · 4,364 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96156 — 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
$97
$146 typical
$274
The middle 50% of negotiated facility rates for this procedure, measured across 1,732 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. | $146 |
| Physician fee Estimate national typical Medicare $87 × 1.22 commercial. | $106 |
| Likely subtotal | $251 |
Complete-episode estimate (typical)
~$251
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 $97–$274.
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $917.72 | $458.86 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $917.72 | $458.86 | 2024-12-15 | 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 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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.42 | $232.00 | $83.28 | 2024-12-31 | 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 | $0.57 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.57 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.57 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.58 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Serenity Pace | Medicare Managed Care | $0.58 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.60 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.61 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $218.00 | — | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.75 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.75 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Aetna | All Commercial Plans | $0.76 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Wellpoint | All Commercial | $0.76 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Multiplan | All Commercial Plans | $0.82 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.83 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Connecticare | CBI Other Commercial | $0.87 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Connecticare | All Commercial Plans | $0.90 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | HMO Commercial | $0.96 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | PPO Commercial | $0.97 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | Indemnity Commercial | $0.97 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | First Health | PPO | $0.99 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS 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 CROSS MYBLUE HEALTH 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN 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 ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | UHC Medicaid Replacement | HMO | $1.00 | $150.00 | — | 2026-03-18 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $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 | BLUECHOICE HEALTHPLAN OF SC | $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 ↗ |
| BAYSTATE MEDICAL CENTER Both | Health New England | Connector Other Commercial Plan | $1.02 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $1.11 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Health New England | Fully Insured Other Commercial Plan | $1.14 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Coventry | Health Care Workers Comp | $1.15 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Health New England | ASO GIC Other Commercial Plan | $1.18 | $117.00 | $117.00 | 2026-06-05 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.00 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.28 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.29 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.29 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.49 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.49 | — | — | 2026-03-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $2.50 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $2.50 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.51 | $253.00 | $48.07 | 2026-08-02 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $2.55 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $2.57 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.79 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $2.98 | $248.03 | $186.02 | 2026-11-02 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Medicaid | Medicaid | $4.76 | $79.27 | $79.27 | 2025-03-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $4.82 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.02 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.02 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | — | $247.00 | $160.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | — | $247.00 | $160.55 | 2026-03-12 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $7.20 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $7.20 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Cigna | All Commercial Products | $7.21 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $8.10 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $8.10 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Blue Cross Blue Shield | Traditional | $8.48 | $79.27 | $79.27 | 2025-03-31 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Aetna (Medicaid) | Aetna Better Health | $8.88 | $74.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | WellCare (Medicaid) | WellCare of Kentucky | $8.88 | $74.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicaid) | Passport Health Plan by Molina Healthcare | $8.97 | $74.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicaid) | United Healthcare Community Plan | $8.97 | $74.00 | — | 2026-04-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $9.16 | $285.42 | $145.56 | 2025-01-10 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicaid) | Humana Healthy Horizons | $9.41 | $74.00 | — | 2026-04-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Blue Cross of Idaho | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Tricare | POS | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Regence Blueshield of Idaho | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | United Healthcare | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Regence Blueshield of Idaho | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Aetna | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Tricare | POS | $9.75 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Aetna | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Blue Cross of Idaho | Medicare Advantage | $9.75 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Molina | Medicare Advantage | $9.85 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Pacific Source | Medicare Advantage | $10.14 | $22.18 | $22.18 | 2026-04-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Pacific Source | Medicare Advantage | $10.14 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $10.17 | $248.03 | $186.02 | 2026-07-31 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Johns Hopkins Healthcare | All Products | $10.32 | $10.86 | $9.77 | 2026-07-18 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $11.03 | $285.42 | $102.75 | 2026-09-19 | MRF ↗ |
| VISTA MEDICAL CENTER EAST Outpatient | Cigna | Commercial | $11.18 | $79.27 | $79.27 | 2025-03-31 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Inclusa | Health Plan | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Inclusa | Health Plan | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $11.80 | — | — | 2026-04-16 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ANTHEM | All Products | $12.00 | $285.00 | $171.00 | 2025-07-01 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $12.24 | $80.00 | $64.00 | 2026-01-05 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $12.39 | $434.00 | — | 2026-01-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | SUPERIOR HEALTH PLAN MEDICAID | SUPERIOR HEALTH PLAN MEDICAID | $12.40 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERIGROUP - ALL PLANS | AMERIGROUP - ALL PLANS | $12.40 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | TCHP CHIPS - ALL PLANS | TCHP CHIPS - ALL PLANS | $12.40 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | COMMUNITY HEALTH CHOICE - ALL PLANS | COMMUNITY HEALTH CHOICE - ALL PLANS | $12.40 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERICHOICE - ALL PLANS | AMERICHOICE - ALL PLANS | $12.40 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU ATHLETE-ALL OTHER PLANS | EIU ATHLETE-ALL OTHER PLANS | $12.60 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU ATHLETE-ALL OTHER PLANS | EIU ATHLETE-ALL OTHER PLANS | $12.60 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $12.94 | $253.00 | $43.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $12.94 | $253.00 | $43.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $12.94 | $253.00 | $43.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | KAISER MCAL | KAISER MCAL | $12.94 | $253.00 | $17.71 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.94 | $253.00 | $68.31 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $12.94 | $253.00 | $43.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $12.94 | $253.00 | $17.71 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $12.94 | $253.00 | $17.71 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BC MCAL | BC MCAL | $12.94 | $253.00 | $17.71 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.94 | $253.00 | $68.31 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $12.94 | $253.00 | $43.01 | 2026-05-23 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $12.97 | $285.42 | $102.75 | 2026-09-19 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BLUE CARE NETWORK [1000] | BLUE CARE NETWORK [100000] | $13.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | RURAL KING-ALL PLANS | RURAL KING-ALL PLANS | $13.32 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHSCOPE-ALL PLANS | HEALTHSCOPE-ALL PLANS | $13.32 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | RURAL KING-ALL PLANS | RURAL KING-ALL PLANS | $13.32 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHSCOPE-ALL PLANS | HEALTHSCOPE-ALL PLANS | $13.32 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Automobile liability / Accident & Health | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Workers' Compensation | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Automobile liability / Accident & Health | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Workers' Compensation | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $13.88 | $337.00 | $337.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $13.88 | $337.00 | $337.00 | 2026-03-01 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | COFINITY [1120] | COFINITY/INSIGHT BENEFIT ADMIN [112016] | $14.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA MEDICARE [2100] | AETNA MEDICARE ADVANTAGE [210000] | $14.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GEHA [1129] | GEHA GOVERNMENT EMPLOYEE ASSOCIATION [112900] | $14.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA [1104] | AETNA [110400] | $14.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MERITAIN HEALTH PLAN [1153] | MERITAIN HEALTH PLAN [115300] | $14.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $14.20 | $202.81 | $202.81 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $14.20 | $202.81 | $202.81 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $14.20 | $202.81 | $202.81 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $14.20 | $202.81 | $202.81 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $14.20 | $202.81 | $202.81 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | HP MCAL PRO FEE | HP MCAL PRO FEE | $14.23 | $253.00 | $17.71 | 2026-08-02 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | BEACON HEALTH - ALL PLANS | BEACON HEALTH - ALL PLANS | $14.26 | $124.00 | $16.12 | 2026-02-03 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $14.39 | $236.00 | $165.20 | 2025-01-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA OPEN CHOICE | AETNA OPEN CHOICE | $14.40 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA OPEN CHOICE | AETNA OPEN CHOICE | $14.40 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HOPE TRUST-ALL PLANS | HOPE TRUST-ALL PLANS | $14.40 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HOPE TRUST-ALL PLANS | HOPE TRUST-ALL PLANS | $14.40 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Washington L & I | Workers Comp | $14.66 | $22.18 | $22.18 | 2026-08-19 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU STUDENT | EIU STUDENT | $14.76 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU STUDENT | EIU STUDENT | $14.76 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | UHC COMM -ALL OTHER PLANS | UHC COMM -ALL OTHER PLANS | $14.94 | $18.00 | $18.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | UHC COMM -ALL OTHER PLANS | UHC COMM -ALL OTHER PLANS | $14.94 | $18.00 | $18.00 | 2026-02-13 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ASR PHYSICIANS CARE HEALTH PLAN [1160] | ASR PHYSICIANS CARE HEALTH PLANS [116000] | $15.00 | $20.00 | $16.00 | 2024-12-04 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | ALLIED NATIONAL-ALL PLANS | ALLIED NATIONAL-ALL PLANS | $15.12 | $18.00 | $18.00 | 2026-06-03 | 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.