97002 — Pt Re-evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PT RE-EVALUATION (CPT 97002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97002?code_type=CPT
MLA (9th ed.)
“PT RE-EVALUATION (CPT 97002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97002?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PT RE-EVALUATION (CPT 97002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97002?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $62–$207 (25th–75th percentile) across 316 hospitals · 768 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97002 — 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 |
|---|---|---|---|---|---|---|---|
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Multiplan | Multiplan | — | $0.01 | $0.01 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Indemnity | — | $0.01 | $0.01 | 2025-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $5.81 | $43.00 | $32.25 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $8.92 | $43.00 | $32.25 | 2026-01-16 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Medicaid Replacement | — | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | WellCare Health Plan MCD Rep | Medicaid Replacement | — | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Default | — | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region DOS lt 01012025 | Default | $9.88 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare MCD Rep DOS lt 2/1/19 | Medicaid Replacement | — | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan MCD Rep | Default | — | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | — | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare B Fl Jn | Default | — | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan Mcd Rep | Default | — | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region Dos Lt 01012025 | Default | $10.10 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Magellan Health Services | Medicaid Replacement | — | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare Mcd Rep Dos Lt 2/1/19 | Medicaid Replacement | — | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $11.02 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $11.48 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Blue Cross Blue Shield Of Fl Florida Blue | Medicare Advantage | $12.09 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Access 2 Healthcare Physicians | MGMCR | $12.45 | $244.17 | $244.17 | 2024-10-01 | 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 ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A Fl Jn | Default | $12.66 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $12.66 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A FL JN | Default | $13.07 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | United Healthcare | Medicare Advantage | $13.07 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $13.07 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $13.07 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] | MEDICARE BLUE CHOICE [130601] | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid United Healthcare | Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Magellan | Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth Caritas | Caritas Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth | Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid La Healthcare Connect | Connect Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Take Charge | Medicaid | $13.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $14.01 | $256.00 | — | 2024-12-19 | 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 ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $14.37 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $14.37 | — | — | 2026-04-01 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys Exchange | $14.39 | $100.80 | $37.30 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Network Access | $14.39 | $100.80 | $37.30 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys All Payor | $14.39 | $100.80 | $37.30 | 2024-12-26 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $14.75 | $256.00 | — | 2024-12-19 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid | Medicaid | $14.81 | $85.95 | $51.57 | 2026-07-15 | 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 ↗ |
| 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 | 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 | 2026-07-22 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $15.18 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $15.18 | — | — | 2026-01-01 | 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 | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | MULTIPLAN- ALL PLANS | MULTIPLAN- 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 | 2026-07-22 | 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 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | UHC- ALL PLANS | UHC- ALL PLANS | $15.46 | $16.27 | $16.27 | 2026-04-24 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna Medicare Hmo | Medicare | $15.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $15.47 | $85.95 | $51.57 | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $15.93 | $20.86 | — | 2026-05-13 | 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 | 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 | — | 2026-05-23 | 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 | Emblemghi | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $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 | Harvardpilgrim | — | $16.69 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $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 | Emblemghi | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth | Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth Caritas | Caritas Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Magellan | Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid United Healthcare | Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Take Charge | Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid La Healthcare Connect | Connect Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $16.71 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $16.80 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $16.80 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Aetna | MCR | $16.85 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $16.94 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $17.00 | $71.00 | $71.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $17.00 | $71.00 | $71.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $17.00 | $71.00 | $71.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $17.00 | $71.00 | $71.00 | 2025-07-03 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid Managed Generic | Medicaid Managed Generic | $17.18 | $167.00 | $167.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid | Medicaid | $17.18 | $167.00 | $167.00 | 2026-07-15 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $17.28 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $17.34 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER InpatientFacility | — | — | — | $174.00 | $31.32 | 2026-03-17 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $17.58 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $17.58 | $244.17 | $244.17 | 2026-03-01 | 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 ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Caresource | Medicaid | $17.79 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $17.91 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $17.91 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $17.91 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $17.91 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS BLUE CHOICE [220107], EXCELLUS HEALTHY NY [220110], EXCELLUS HIGH PERFORMANCE [220103], EXCELLUS SIMPLY BLUE [220106] | $17.96 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS METAL TIERS [220102] | $17.96 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $18.01 | — | — | 2026-01-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $18.16 | — | — | 2026-01-25 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid | Medicaid | $18.38 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $18.75 | — | — | 2026-04-01 | 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 ↗ |
| Hca Florida Largo Hospital Outpatient | Freedom Health Care | MCR | $19.05 | $244.17 | $244.17 | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | MCRHMO | $19.05 | $244.17 | $244.17 | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | PPO | $19.05 | $244.17 | $244.17 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | PFFS | $19.05 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Freedom Health Care | MGMGR | $19.05 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $19.05 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Optimum Healthcare | PFFS | $19.05 | $244.17 | $244.17 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $19.05 | $244.17 | $244.17 | 2026-03-01 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $19.20 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna Medicare Hmo | Medicare | $19.20 | $106.65 | $63.99 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $19.35 | $43.00 | $32.25 | 2026-01-16 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $19.70 | — | — | 2026-04-01 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Aetna | MCR | $19.78 | $244.17 | $244.17 | 2024-10-01 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Medicare | $19.78 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $19.78 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $19.78 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $19.78 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $19.78 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | PLAN DE SALUD MENONITA | MENONITA COMERCIAL | $20.00 | $25.00 | — | 2026-08-05 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | UTM | UTM | $20.00 | $25.00 | — | 2026-08-05 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Keystone First Medicaid | Keystone First Medicaid | $20.44 | $167.00 | $167.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Hmo | $20.44 | $167.00 | $167.00 | 2026-07-15 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $20.84 | $41.68 | $29.18 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $20.84 | $41.68 | $29.18 | 2026-05-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $20.86 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $20.86 | $20.86 | — | 2026-05-13 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $21.08 | — | — | 2026-04-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $21.90 | — | — | 2026-02-12 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $22.00 | $43.00 | $21.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Cigna | Medicare | $22.00 | $43.00 | $21.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $22.00 | $43.00 | $21.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $22.00 | $43.00 | $21.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $22.00 | $43.00 | $21.00 | 2026-07-18 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $103.95 | $105.37 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $103.95 | $105.37 | 2025-01-19 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107], EXCELLUS HIGH PERFORMANCE [220103] | $22.32 | — | — | 2026-04-01 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $22.47 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| SPECIALISTS HOSPITAL SHREVEPORT Inpatient | BCBS Louisiana | PPO | $22.50 | $45.00 | $22.50 | 2026-06-03 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | $22.58 | $67.00 | $40.20 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | $22.58 | $67.00 | $40.20 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | $22.58 | $67.00 | $40.20 | 2026-07-15 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Cigna | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $22.79 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $22.79 | $43.00 | $21.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $22.87 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $22.94 | $559.00 | — | 2024-12-19 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $23.00 | $71.00 | $71.00 | 2025-07-03 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $23.13 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $23.13 | — | — | 2026-05-06 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Aetna Behavioral Health Medicare Advantage | Medicare Advantage | $23.18 | $100.80 | $37.30 | 2024-12-26 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $103.95 | $105.37 | 2025-01-19 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Cigna | Commercial | $23.45 | $67.00 | $40.20 | 2026-07-15 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Caresource | Medicaid | $24.01 | $43.00 | $21.50 | 2026-07-18 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $24.15 | $559.00 | — | 2024-12-19 | MRF ↗ |
| SPECIALISTS HOSPITAL SHREVEPORT Outpatient | Aetna Commercial | PPO | $24.75 | $45.00 | $36.00 | 2026-06-03 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $25.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. Both | NATIONAL BENEFIT FUND 1199 | NATIONAL BENEFIT FUND 1199 | $25.00 | $189.92 | $189.92 | 2025-04-25 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. Both | NATIONAL BENEFIT FUND 1199 | NATIONAL BENEFIT FUND 1199 | $25.00 | $189.92 | $189.92 | 2025-04-25 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $25.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2026-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $25.00 | — | — | 2025-08-06 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $25.00 | $144.69 | $94.63 | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $25.00 | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $25.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $25.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $25.00 | — | — | 2026-04-01 | 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.