96372 — Injection Of Drug Or Substance Under Skin Or Into Muscle
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Injection of drug or substance under skin or into muscle (CPT 96372) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96372?code_type=CPT
MLA (9th ed.)
“Injection of drug or substance under skin or into muscle (CPT 96372) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96372?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Injection of drug or substance under skin or into muscle (CPT 96372) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96372?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $62–$166 (25th–75th percentile) across 3,218 hospitals · 11,428 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96372 — 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
$62
$94 typical
$166
The middle 50% of negotiated facility rates for this procedure, measured across 3,218 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. | $94 |
| Physician fee Estimate national typical Medicare $15 × 1.22 commercial. | $19 |
| Likely subtotal | $113 |
Complete-episode estimate (typical)
~$113
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 |
|---|---|---|---|---|---|---|---|
| WRIGHT MEMORIAL HOSPITAL Both | MEDICARE REPLACEMENT PLAN [1250] | BC OUT OF AREA MEDICARE ADVANTAGE [12502] | — | $97.00 | $58.20 | 2025-12-31 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | BCBS KS-PSHB EMPL PGM | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | HEALTHCHOICE | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | Kansas Farm Bureau Health Plan | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $124.00 | $93.00 | 2026-03-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.16 | $15.45 | $15.45 | 2026-04-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $0.22 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.25 | $76.00 | $57.00 | 2025-03-07 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $0.26 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $0.26 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS COLORADO [600106] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ARKANSAS [600104] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS OF MICHIGAN [600001] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS OHIO [600109] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ALABAMA [600103] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS GM RETIREES [600002] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BCBS [600101] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS WASHINGTON [600113] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS MEDICARE SUPPLEMENTAL [600004] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS CALIFORNIA [600105] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ILLINOIS [600108] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS TEXAS [600112] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS FEDERAL EMPLOYEE FEP [6003] | BCBS FEDERAL EMPLOYEE FEP [600301] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BLUE HIGH PERFORMANCE NETWORK [600003] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS PENNSYLVANIA [600110] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS GEORGIA [600107] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS HURLEY EMPLOYEE [6002] | BCBS HURLEY EMPLOYEE [600201] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS RHODE ISLAND [600111] | $0.32 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.44 | $91.00 | $86.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.44 | $91.00 | $86.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.45 | $91.00 | $86.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $91.00 | $86.45 | 2026-02-20 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| POCAHONTAS COMMUNITY HOSPITAL Outpatient | Molina | Medicare | — | $103.00 | $103.00 | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $0.59 | $8.40 | $8.40 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $0.59 | $8.40 | $8.40 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $0.59 | $8.40 | $8.40 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $0.59 | $8.40 | $8.40 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $0.59 | $8.40 | $8.40 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.60 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.60 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.62 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.65 | $162.00 | $153.90 | 2026-02-20 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $0.80 | $237.00 | $237.00 | 2026-02-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.88 | $209.52 | $209.52 | 2026-03-18 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTHCARE - ALL OTHER PLANS | PREFERRED HEALTHCARE - ALL OTHER PLANS | $0.89 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.89 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY-ALL OTHER PLANS | AETNA/COVENTRY-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $534.94 | $347.71 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $412.24 | $267.96 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $117.00 | $95.94 | 2025-11-26 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | CMC AETNA | — | $19,622.52 | $3,819.62 | 2026-04-01 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY PPO | AETNA/COVENTRY PPO | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $157.83 | $102.59 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $157.83 | $102.59 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $157.83 | $102.59 | 2025-11-26 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.05 | $52.50 | — | 2026-03-31 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | PPONEXT-ALL PLANS | PPONEXT-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.09 | $54.50 | — | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.10 | $209.52 | $209.52 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.11 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.11 | $270.67 | $270.67 | 2026-03-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.21 | $116.15 | $116.15 | 2026-04-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID [300001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID [300001] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $1.25 | $47.00 | $47.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $1.25 | $47.00 | $47.00 | 2026-03-23 | 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.