96366 — Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Each Additional Hour
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (CPT 96366) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96366?code_type=CPT
MLA (9th ed.)
“Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (CPT 96366) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96366?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (CPT 96366) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96366?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53–$196 (25th–75th percentile) across 3,170 hospitals · 11,029 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96366 — 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
$53
$105 typical
$196
The middle 50% of negotiated facility rates for this procedure, measured across 3,170 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. | $105 |
| Physician fee Estimate national typical Medicare $21 × 1.22 commercial. | $26 |
| Likely subtotal | $131 |
Complete-episode estimate (typical)
~$131
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 |
|---|---|---|---|---|---|---|---|
| NORTH VISTA HOSPITAL Outpatient | Sierra Health | Sierra Health HMO/SHL | — | $240.43 | $50.00 | 2026-03-17 | MRF ↗ |
| NORTH VISTA HOSPITAL Outpatient | Sierra Health | Sierra Health HMO/SHL | — | $240.43 | $50.00 | 2026-03-17 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $173.00 | $69.20 | 2026-05-23 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.41 | $38.00 | $28.50 | 2025-03-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.60 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.60 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.61 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.61 | $124.00 | $117.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.64 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.64 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.64 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.65 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.67 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.69 | $172.00 | $163.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $165.00 | $156.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $165.00 | $156.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.82 | $165.00 | $156.75 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.88 | $155.00 | $116.25 | 2026-03-26 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.88 | $253.26 | $253.26 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $175.48 | $175.48 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $175.48 | $175.48 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.89 | $165.00 | $156.75 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,289.07 | $837.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $991.58 | $644.53 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $404.00 | $331.28 | 2025-11-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $196.76 | $118.06 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.10 | $253.26 | $253.26 | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $196.76 | $118.06 | 2025-08-11 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $1.11 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $1.11 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.11 | $175.48 | $175.48 | 2026-03-18 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $1.11 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.11 | $175.48 | $175.48 | 2026-03-18 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $1.11 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $1.11 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $1.59 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $1.59 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $1.59 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $1.59 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $1.59 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Freedom Health Care | MGMGR | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRPPO | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | PFFS | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Optimum Healthcare | MCRHMO | $1.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $1.67 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $1.67 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $1.67 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $1.67 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $1.67 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $1.74 | $29.02 | $29.02 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $1.74 | $29.02 | $29.02 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $1.74 | $29.02 | $29.02 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $1.74 | $29.02 | $29.02 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $1.74 | $29.02 | $29.02 | 2026-03-01 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $2.00 | $8.00 | $6.80 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $2.00 | $8.00 | $6.80 | 2026-03-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.19 | $109.50 | — | 2026-03-31 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $1,038.00 | $415.20 | 2026-05-23 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.34 | $253.26 | $253.26 | 2026-03-18 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $2.41 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $2.41 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $2.41 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $2.41 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $2.44 | $40.68 | $40.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $2.44 | $40.68 | $40.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $2.44 | $40.68 | $40.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $2.44 | $40.68 | $40.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $2.44 | $40.68 | $40.68 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.49 | $124.50 | — | 2026-03-31 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $2.59 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $2.59 | $18.53 | $18.53 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | HIX | $2.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | HIX | $2.61 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $2.75 | $50.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $2.75 | $50.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $2.83 | $50.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $2.83 | $50.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $2.83 | $50.50 | — | 2026-01-15 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $2.94 | $288.00 | $187.20 | 2026-03-14 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $3.03 | $109.10 | $109.10 | 2025-06-20 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Aetna | QHP | $3.05 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Aetna | QHP | $3.05 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $3.09 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Oscar | HIX | $3.09 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.12 | $218.00 | $130.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.12 | $215.00 | $129.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.12 | $215.00 | $129.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.12 | $215.00 | $129.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.12 | $309.00 | $185.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.12 | $270.00 | $162.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.12 | $302.00 | $181.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.12 | $245.00 | $147.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.12 | $245.00 | $147.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.12 | $317.00 | $190.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.12 | $270.00 | $162.00 | 2026-01-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | MGMCR | $3.17 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Simply Healthcare | MGMCR | $3.17 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | UHC ADVANTAGE | UHC ADVANTAGE | $3.22 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | IP DGRADE AARP UHC LIFE1 | $3.22 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | UHC ADVANTAGE | UHC ADVANTAGE | $3.22 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | UHC MEDICARE | $3.22 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | AETNA MEDICARE ADVANTAGE | $3.22 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | BCBS MEDICARE | $3.32 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | BCBS MEDICARE | $3.32 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $3.38 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $3.38 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $3.44 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $3.44 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $3.44 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $3.44 | $26.49 | $26.49 | 2026-03-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB OP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB IP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND IP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC PSYCH | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC IP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC NB | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC OP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND OP | $3.54 | $46.50 | $13.95 | 2025-12-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.55 | $341.80 | $341.80 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.55 | $341.80 | $341.80 | 2026-04-24 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $3.58 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $3.58 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $3.58 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $3.58 | $20.59 | $20.59 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $3.60 | $59.95 | $59.95 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHIP | $3.60 | $59.95 | $59.95 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STARKids | $3.60 | $59.95 | $59.95 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | CHPFC | $3.60 | $59.95 | $59.95 | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Superior Health Plan | STAR | $3.60 | $59.95 | $59.95 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $3.61 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $3.61 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $3.61 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $3.61 | $27.76 | $27.76 | 2026-03-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Standard | $3.64 | $401.00 | $300.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - HMO | $3.64 | $401.00 | $300.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - PPO | $3.64 | $401.00 | $300.75 | 2026-04-01 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MISC MEDICARE ADVANTAGE | MISC MEDICARE ADVANTAGE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MCARE MCAID HMO DUAL | PRES MC IP DOWNGRADE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MCARE MCAID HMO DUAL | PRESBY HLTH DUAL MCR/MCD | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MCARE MCAID HMO DUAL | UHC | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MCARE MCAID HMO DUAL | PRESBY HLTH DUAL MCR/MCD | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | UHC ADVANTAGE | UHC MCR ADV IP DOWNGRADE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | IP DGRADE WESTERN SKY | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | MEDICARE PART B IP CAH | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | INPATIENT DOWNGRADE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | MERITAIN MEDICARE ADV | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE | MEDICARE PART B OP CAH | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | AARP UHC LIFE1 | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | CHAMPUS | TRIWEST | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA GOLD PLUS HMO IPA | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MCR DOWNGRADE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MCR PPO | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MCR PPO | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MEDICARE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | CIGNA MEDICARE ADVANTAGE | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | WESTERN SKY MCR | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | CHRISTUS HEALTH | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | AARP UHC LIFE1 | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA GOLD PLUS HMO IPA | $3.68 | $23.05 | $11.52 | 2026-04-16 | MRF ↗ |
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