97001 — Pt Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PT EVALUATION (CPT 97001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97001?code_type=CPT
MLA (9th ed.)
“PT EVALUATION (CPT 97001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97001?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PT EVALUATION (CPT 97001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97001?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $97–$306 (25th–75th percentile) across 436 hospitals · 1,081 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97001 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.19 | $210.95 | $210.95 | 2026-04-24 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Blue Cross Inpatient Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Hap Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Humana Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Aetna Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Optum Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Molina Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Champus Imbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare Reimbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | United Healthcare Imbursement | — | $3.00 | $3.00 | $3.00 | 2026-07-18 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.01 | $125.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $3.31 | $125.00 | — | 2026-08-17 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Medicare A Ar Jh | Default | $7.64 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Vapccc3 All Regions 1-6 Dos Gt 1/30/19 | Default | $7.80 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Vapccc3 All Regions 1-6 Dos Gt 1/30/19 | Default | $7.80 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $7.97 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $7.98 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Uhc Us Networks And Adminstrative Services | Default | $8.10 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Medicare A Ar Jh | Default | $9.11 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Blue Cross Blue Shield Of Ar | Medicare Advantage | $9.11 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $9.20 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $9.20 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $9.94 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $9.94 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $9.94 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $9.94 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Molina Healthcare Of Ms Mcd Adv | Default | — | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicaid Mississippi | Default | — | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Uhc Community Plan Ms | Default | — | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A Ms Jh | Default | $10.14 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $10.26 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $44.00 | $24.67 | 2026-03-22 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A MS JH | Default | $10.58 | $15.00 | $10.50 | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A MS JH | Default | $10.58 | $15.00 | $10.50 | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield of MS INST | Default | $12.00 | $15.00 | $10.50 | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield of MS INST | Default | $12.00 | $15.00 | $10.50 | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield Of Ms Prof | Default | $12.00 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield Of Ms Inst | Default | $12.00 | $15.00 | $10.50 | 2026-05-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $12.52 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $12.52 | $20.86 | — | 2026-05-13 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $13.02 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $13.02 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $13.71 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $13.72 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $14.00 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $14.00 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $14.00 | $14.00 | $12.60 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $14.00 | $14.00 | $12.60 | 2026-05-09 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $14.19 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $14.19 | $20.86 | — | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Blue Cross Blue Shield Of Ar | Default | $14.25 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Blue Cross Blue Shield Of Ar | Default | $14.25 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $14.63 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Triwest | Medicare Advantage | $14.63 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Molina | Medicare Advantage | $14.63 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $15.00 | $150.00 | $150.00 | 2025-11-06 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Both | Medicaid Arkansas | Default | $15.00 | $15.00 | $10.50 | 2026-07-15 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $15.13 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | WPPA/PROVIDRS CARE- ALL PLANS | WPPA/PROVIDRS CARE- ALL PLANS | $15.13 | $16.27 | $16.27 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $15.13 | $16.27 | $16.27 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | WPPA/PROVIDRS CARE- ALL PLANS | WPPA/PROVIDRS CARE- ALL PLANS | $15.13 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Community Health Choice | Medicare Advantage | $15.36 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $15.44 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $15.44 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $15.77 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $15.93 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $15.93 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $16.07 | $75.00 | $63.75 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $16.07 | $75.00 | $63.75 | 2026-02-28 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $16.25 | $125.00 | — | 2026-09-02 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $16.38 | $75.00 | $63.75 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $16.38 | $75.00 | $63.75 | 2026-02-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $16.44 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $16.44 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $16.49 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $16.49 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $17.60 | $44.00 | $24.67 | 2026-03-22 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $17.73 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $17.73 | $20.86 | — | 2026-05-13 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $18.56 | $119.41 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $18.56 | $119.41 | — | 2026-03-24 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | UHC | UHC Medicaid | $18.68 | $747.00 | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | UHC | UHC Medicaid | $18.68 | $186.75 | — | 2024-12-19 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $18.69 | $397.58 | $397.58 | 2026-03-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $18.75 | $125.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $18.75 | $125.00 | — | 2026-09-02 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $18.78 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $18.78 | $20.86 | — | 2026-05-13 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $44.00 | $24.67 | 2026-03-22 | MRF ↗ |
| St. Mary Rehabilitation Hospital Inpatient | United Healthcare Commercial | United Healthcare Commercial | $18.91 | $45.79 | $45.79 | 2025-08-08 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $19.04 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | SHARP HEALTH PLAN HMO | SHARP HEALTH PLAN HMO | $19.23 | $55.65 | $55.65 | 2026-03-17 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Superior Healthplan Inc. | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Humana | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Amerigroup | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | United Healthcare | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Aetna Health Inc. | Medicare Advantage | $19.24 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $19.28 | $90.00 | $76.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $19.28 | $90.00 | $76.50 | 2026-02-28 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE SELECT PPO | UNITED HEALTHCARE SELECT PPO | $19.56 | $55.65 | $55.65 | 2026-03-17 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $19.66 | $90.00 | $76.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $19.66 | $90.00 | $76.50 | 2026-02-28 | MRF ↗ |
| Palomar Rehabilitation Institute Inpatient | UNITED HEALTHCARE HMO & PPO | UNITED HEALTHCARE HMO & PPO | $19.93 | $55.65 | $55.65 | 2026-03-17 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | UTM | UTM | $20.00 | $64.00 | — | 2026-08-05 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | PLAN DE SALUD MENONITA | MENONITA COMERCIAL | $20.00 | $64.00 | — | 2026-08-05 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Access 2 Healthcare Physicians | MGMCR | $20.28 | $397.58 | $397.58 | 2024-10-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $20.86 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $20.86 | $20.86 | — | 2026-05-23 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $21.04 | $54.08 | $54.08 | 2026-03-16 | MRF ↗ |
| University Hospitals Avon Rehabilitation Hospital Inpatient | UH Employees (Administered by Meritian) | Commercial | $21.04 | $54.08 | $54.08 | 2026-03-16 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $21.08 | $62.00 | $37.20 | 2025-11-18 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $21.22 | $119.41 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $21.22 | $119.41 | — | 2026-03-24 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $21.73 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $22.00 | $44.00 | $24.67 | 2026-03-22 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $22.01 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $22.01 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $22.01 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $22.01 | $460.00 | — | 2024-12-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $234.15 | $85.05 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $234.15 | $85.05 | 2025-01-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $22.40 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $22.48 | $460.00 | — | 2024-12-19 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $22.57 | $145.21 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $22.57 | $145.21 | — | 2026-03-24 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $22.94 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $22.94 | $460.00 | — | 2024-12-19 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $23.00 | $150.00 | $150.00 | 2025-11-06 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $23.17 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $23.17 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $23.17 | $460.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $23.17 | $460.00 | — | 2024-12-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $234.15 | $85.05 | 2025-01-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $23.52 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $23.52 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $23.64 | $60.00 | $30.00 | 2026-10-17 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice And Community Care | Hospice And Community Care | $23.75 | $125.00 | $125.00 | 2026-07-15 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Superior | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Scott & White | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Blue Cross Blue Sheild | Medicare Advantage Hmo | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Blue Cross Blue Sheild | Medicare Advantage Ppo | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Superior | Commericial | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | United | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Community Health | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| BELLVILLE MEDICAL CENTER Both | Molina | Medicare Advantage | $23.80 | $85.00 | $85.00 | 2026-07-31 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Texas Children'S Health Plan | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Community Health Choice | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Amerigroup | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Molina | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | United Healthcare | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Aetna Health Inc. | Managed Medicaid | $23.87 | $77.00 | $77.00 | 2026-07-15 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $23.96 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $23.99 | $56.00 | $33.60 | 2025-11-18 | MRF ↗ |
| LYNN COUNTY HOSPITAL DISTRICT Both | Aetna Health Inc. | Commercial | $24.05 | $37.00 | $37.00 | 2026-07-15 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $24.06 | $62.00 | $37.20 | 2025-11-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $24.11 | $60.00 | $30.00 | 2026-10-17 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $24.79 | $453.00 | — | 2024-12-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $24.80 | $62.00 | $37.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $24.80 | $62.00 | $37.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $24.80 | $62.00 | $37.20 | 2025-11-18 | 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.