96365 — Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, 1 Hour Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (CPT 96365) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96365?code_type=CPT
MLA (9th ed.)
“Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (CPT 96365) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96365?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (CPT 96365) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96365?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $208–$516 (25th–75th percentile) across 3,190 hospitals · 11,176 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96365 — 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
$208
$317 typical
$516
The middle 50% of negotiated facility rates for this procedure, measured across 3,190 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. | $317 |
| Physician fee Estimate national typical Medicare $67 × 1.22 commercial. | $82 |
| Likely subtotal | $399 |
Complete-episode estimate (typical)
~$399
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 |
|---|---|---|---|---|---|---|---|
| MOUNTAIN LAKES MEDICAL CENTER BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.42 | $646.00 | $258.40 | 2026-01-01 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $512.00 | $204.80 | 2026-05-23 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.77 | $486.00 | $364.50 | 2026-03-26 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.90 | — | $1,915.95 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.90 | — | $1,915.95 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,852.00 | $1,518.64 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,858.00 | $1,523.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,858.00 | $1,523.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,858.00 | $1,523.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,852.00 | $1,518.64 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,852.00 | $1,518.64 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $1,852.00 | $1,518.64 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,697.79 | $2,403.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,697.79 | $2,403.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,852.00 | $1,518.64 | 2025-11-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $1.01 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $1.01 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $1.01 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $1.01 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.54 | $279.00 | $209.25 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.67 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.67 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.67 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.72 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.76 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.81 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $2.10 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $2.10 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $2.10 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $2.10 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.17 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.17 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $2.19 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.21 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.21 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $2.28 | — | $9,972.30 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.31 | $452.00 | $429.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.41 | $492.00 | $467.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.41 | $492.00 | $467.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.46 | $492.00 | $467.40 | 2026-02-20 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $512.00 | $204.80 | 2026-05-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.56 | $492.00 | $467.40 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.57 | $1,430.00 | $226.80 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.66 | $492.00 | $467.40 | 2026-02-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $2.84 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $2.84 | $4.37 | $4.37 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $2.94 | $288.00 | $187.20 | 2026-03-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $478.00 | $47.80 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $478.00 | $47.80 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $478.00 | $47.80 | 2026-05-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.20 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.22 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.22 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.67 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.69 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.69 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $3.76 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $3.82 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $3.90 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.00 | $443.22 | $443.22 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.02 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.02 | $801.30 | $801.30 | 2026-03-18 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $4.14 | $76.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $4.14 | $76.00 | — | 2026-01-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.24 | $407.95 | $407.95 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.24 | $407.95 | $407.95 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.24 | $407.95 | $407.95 | 2026-04-24 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $4.27 | $76.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $4.27 | $76.00 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $4.27 | $76.00 | — | 2026-01-15 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $5.50 | $22.00 | $18.70 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $5.50 | $22.00 | $18.70 | 2026-03-06 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.60 | $595.72 | $357.43 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.60 | $595.72 | $357.43 | 2025-08-11 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA PPO | AETNA PPO | $5.71 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | CIGNA PPO | CIGNA PPO | $6.25 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $7.17 | $6,777.90 | $4,066.74 | 2026-03-24 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $7.49 | $137.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $7.49 | $137.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $7.72 | $137.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $7.72 | $137.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $7.72 | $137.50 | — | 2026-01-15 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $8.04 | — | $1,634.00 | 2026-03-31 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $8.70 | $144.97 | $144.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $8.70 | $144.97 | $144.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $8.70 | $144.97 | $144.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $8.70 | $144.97 | $144.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $8.70 | $144.97 | $144.97 | 2026-03-01 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Outpatient | Capital Health Plan | All Plans | $9.00 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $9.00 | $50.00 | $50.00 | 2025-10-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $3,301.41 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $1,260.50 | 2026-03-31 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | MultiPlan | MultiPlan | $9.25 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Outpatient | Medicare A Fl Jn | All Plans | $9.41 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $623.07 | $405.00 | 2025-11-26 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | Private Healthcare Systems | Private Healthcare Systems | $9.79 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| GEORGE E WEEMS MEMORIAL HOSPITAL Outpatient | Sunshine State Health Plan Mcr Adv | All Plans | $10.35 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Medicare Advantage | Health Alliance Medicare Advantage | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | UHC Medicare | UHC Medicare | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | BCBS MGG | BCBS MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Commercial | Health Alliance Commercial | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health - commercial | Bright Health - commercial | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Health Alliance Medicare | Health Alliance Medicare | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health MGG | Bright Health MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Essence PPO Products | Essence PPO Products | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | BCBS MGG | BCBS MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Cigna MGG | Cigna MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Humana MGG | Humana MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | UHC MGG | UHC MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Wellcare MGG | Wellcare MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Molina (Medicare Advantage) | Molina (Medicare Advantage) | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Wellcare MGG | Wellcare MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Molina (Dual Eligible) | Molina (Dual Eligible) | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Wellcare Medicare HMO | Wellcare Medicare HMO | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | VA | VA | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Optum VA | Optum VA | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | VACCN-OPTUM CPG | Vererans Affairs Community Care Network | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Humana MGG | Humana MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Optum VA | Optum VA | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | VA | VA | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | MEDICARE PART A | Medicare | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | UNITED HEALTHCARE MGG | United Healthcare of Arkansas | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | UNH DUAL COMPLETE MGG | UHC Medicare Advantage | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | HUMANA CHOICE CARE PPO MGG | Humana TriCare | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health MGG | Bright Health MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Wellcare Medicare PPO | Wellcare Medicare PPO | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | ALLWELL MGG | AR Health and Wellness | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | BCBS ARKANSAS 2 MGG | Arkansas Blue Cross and Blue Shield Medicare Advantage | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | AARP MGG | AARP | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Aetna MGG | Aetna MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | UHC MGG | UHC MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | BCBS ARKANSAS MGG | Arkansas Blue Cross and Blue Shield | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | CIGNA MGG | CIGNA Medicare Advantage | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Bright Health - commercial | Bright Health - commercial | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital Inpatient | AETNA MGG | AETNA Health Management | — | $10.36 | $10.36 | 2025-08-10 | MRF ↗ |
| Anderson Rehabilitation Institute Inpatient | Essence Medicare | Essence Medicare | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| Knoxville Rehabilitation Hospital Inpatient | Cigna MGG | Cigna MGG | $10.36 | $10.36 | $10.36 | 2026-03-16 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $623.07 | $405.00 | 2025-11-26 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $10.47 | $869.00 | $434.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MSMC | $10.47 | $869.00 | $434.50 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $10.47 | $869.00 | $434.50 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MMMC | $10.47 | $869.00 | $434.50 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MDMC | $10.47 | $869.00 | $434.50 | 2026-03-20 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | AMBETTER COORDINATED CARE/APPLE HEALTH MCD | AMBETTER COORDINATED CARE/APPLE HEALTH MCD | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | UNITED HEALTHCARE MEDICARE (PCP, OPTUM) | UNITED HEALTHCARE MEDICARE (PCP, OPTUM) | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | HUMANA OPTUM MGG | HUMANA OPTUM MGG | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | AETNA MCR ADV | AETNA MCR ADV | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | MOLINA MCR | MOLINA MCR | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | PREMERA PHYSICIANS SW | PREMERA PHYSICIANS SW | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | HUMANA MEDICARE PCP - PHYSICIANS SW | HUMANA MEDICARE PCP - PHYSICIANS SW | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | COORDINATED CARE/APPLE HEALTH MCD | COORDINATED CARE/APPLE HEALTH MCD | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | PREMERA MEDICARE | PREMERA MEDICARE | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | HUMANA MGG | HUMANA MGG | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | REGENCE MCR | REGENCE MCR | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | TRIWEST | TRIWEST | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | AMERIGROUP MCR | AMERIGROUP MCR | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | UNITED HEALTHCARE MEDICARE (AARP) | UNITED HEALTHCARE MEDICARE (AARP) | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | AMERIGROUP MCD | AMERIGROUP MCD | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | HUMANA MEDICARE SEATTLE MEDICAL GROUP | HUMANA MEDICARE SEATTLE MEDICAL GROUP | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | MOLINA | MOLINA | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | KAISER MEDICARE MGD | KAISER MEDICARE MGD | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | COORDINATED CARE/AMBETTER | COORDINATED CARE/AMBETTER | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| Chi Franciscan Rehabilitation Hospital Inpatient | UMR UNITED HEALTHCARE | UMR UNITED HEALTHCARE | $10.67 | $10.67 | $10.67 | 2026-03-16 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $10.83 | $180.43 | $180.43 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $10.83 | $180.43 | $180.43 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $10.83 | $180.43 | $180.43 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $10.83 | $180.43 | $180.43 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $10.83 | $180.43 | $180.43 | 2026-03-01 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Wellcare - Medicare Managed | Wellcare - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | BLUE SHIELD MEDICARE ADVANTAGE | BLUE SHIELD MEDICARE ADVANTAGE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | GARY & MARY WEST PACE | GARY & MARY WEST PACE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | KAISER MEDICARE ADVANTAGE | KAISER MEDICARE ADVANTAGE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Humana - Medicare Managed | Humana - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Wellmark - Medicare Managed | Wellmark - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | United Healthcare - Medicare Managed | United Healthcare - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | KAISER HMO | KAISER HMO | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Mid-American Benefits - Medicare Managed | Mid-American Benefits - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Aetna - Medicare Managed | Aetna - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | OSCAR Health - Commercial | OSCAR Health - Commercial | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SCRIPPS HMO Medicare | SCRIPPS HMO Medicare | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Medigold - Medicare Managed | Medigold - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | United Healthcare - Medicare Managed Dual Complete | United Healthcare - Medicare Managed Dual Complete | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | COMMUNITY HEALTH GROUP MEDICARE ADVANTAGE | COMMUNITY HEALTH GROUP MEDICARE ADVANTAGE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | TRICARE | TRICARE | $10.88 | $10.88 | $10.88 | 2026-03-17 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | AARP Medicare - UHC Medicare Managed | AARP Medicare - UHC Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| Mercy Rehabilitation Hospital, Llc Inpatient | Health Partners - Medicare Managed | Health Partners - Medicare Managed | $10.88 | $10.88 | $10.88 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $11.05 | $170.00 | $110.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $11.05 | $170.00 | $110.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $11.05 | $170.00 | $110.50 | 2026-03-12 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $11.19 | $724.15 | $397.40 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $11.19 | $724.15 | $397.40 | 2025-01-01 | 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.