97003 — Occupat Therapy Eval 15 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OCCUPAT THERAPY EVAL 15 MIN (CPT 97003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97003?code_type=CPT
MLA (9th ed.)
“OCCUPAT THERAPY EVAL 15 MIN (CPT 97003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97003?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OCCUPAT THERAPY EVAL 15 MIN (CPT 97003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97003?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $112–$319 (25th–75th percentile) across 385 hospitals · 969 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97003 — 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.65 | $253.05 | $151.83 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.65 | $253.05 | $151.83 | 2025-08-11 | 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 ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $6.62 | $8.75 | $7.44 | 2026-07-15 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $7.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $7.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $7.44 | $8.75 | $7.44 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $7.44 | $8.75 | $7.44 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $7.44 | $8.75 | $7.44 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $7.44 | $8.75 | $7.44 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $7.76 | $10.25 | $8.71 | 2026-07-15 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $8.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $8.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $8.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $8.00 | $20.00 | $16.00 | 2026-04-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $8.14 | $10.75 | $9.14 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $8.71 | $10.25 | $8.71 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $8.71 | $10.25 | $8.71 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $8.71 | $10.25 | $8.71 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $8.71 | $10.25 | $8.71 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $9.14 | $10.75 | $9.14 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $9.14 | $10.75 | $9.14 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $9.14 | $10.75 | $9.14 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $9.14 | $10.75 | $9.14 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $9.27 | $12.25 | $10.41 | 2026-07-15 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Great Southern Wood Preserving INC | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Multiplan | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Blue Cross - PPO/Traditional | PPO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Superior Medicaid | Medicaid | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Cigna | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Aetna Commercial | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Affiliated Healthcare | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Blue Bell Creameries INC | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Blue Cross HMO | HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | United Healthcare Commercial | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Texas Medicaid | Medicaid | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $208.00 | $24.67 | 2026-03-22 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $10.41 | $12.25 | $10.41 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $10.41 | $12.25 | $10.41 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $10.41 | $12.25 | $10.41 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $10.41 | $12.25 | $10.41 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $10.79 | $14.25 | $12.11 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $11.48 | $85.00 | $63.75 | 2026-01-16 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $11.50 | — | — | 2026-04-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $12.11 | $14.25 | $12.11 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $12.11 | $14.25 | $12.11 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $12.11 | $14.25 | $12.11 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $12.11 | $14.25 | $12.11 | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $12.52 | $20.86 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $12.52 | $20.86 | — | 2026-05-23 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care First Health Plan | Blue Shield Promise Healthplan Mcal | $13.30 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care 1St Medi Cal Hmo Cap Exceptional Care | Care 1St Medi Cal Hmo Cap Exceptional Care | $13.30 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $13.81 | $18.25 | $15.51 | 2026-07-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] | MEDICARE BLUE CHOICE [130601] | $14.02 | — | — | 2026-04-01 | 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] | $14.99 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $14.99 | — | — | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Inpatient | Great Southern Wood Preserving INC | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Inpatient | Multiplan | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Inpatient | Blue Bell Creameries INC | PPO/HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Inpatient | Blue Cross HMO | HMO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Inpatient | Blue Cross - PPO/Traditional | PPO | — | $25.00 | $18.75 | 2026-03-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $15.44 | $20.86 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $15.44 | $20.86 | — | 2026-05-13 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $15.51 | $18.25 | $15.51 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $15.51 | $18.25 | $15.51 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $15.51 | $18.25 | $15.51 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $15.51 | $18.25 | $15.51 | 2026-07-15 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Clinica Medica Familiar | Clinica Medica Familiar Medi Cal | $15.96 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care First Health Plan | Blue Shield Promise Healthplan Mcal | $16.20 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care 1St Medi Cal Hmo Cap Exceptional Care | Care 1St Medi Cal Hmo Cap Exceptional Care | $16.20 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $16.25 | $125.00 | — | 2026-09-02 | 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 | Cdphp | Commercial | $16.44 | $20.86 | — | 2026-05-23 | 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 | Multiplan | — | $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 | Harvardpilgrim | — | $16.69 | $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 | Multiplan | — | $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 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $16.69 | $20.86 | — | 2026-05-13 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $17.03 | $22.50 | $19.13 | 2026-07-15 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Outpatient | MEDI-CAL | Government | $17.04 | $250.26 | $250.26 | 2026-01-01 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Outpatient | INLAND EMPIRE HEALTH PLAN MCAL HMO | MCAL HMO | $17.04 | $250.26 | $250.26 | 2026-01-01 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Outpatient | LA CARE HEALTH PLAN | MCAL HMO | $17.04 | $250.26 | $250.26 | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $17.64 | $85.00 | $63.75 | 2026-01-16 | 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 ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | UHC | UHC Medicaid | $18.68 | $933.75 | — | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | UHC | UHC Medicaid | $18.68 | $933.75 | — | 2024-12-19 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $18.69 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $18.69 | — | — | 2026-04-01 | 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 ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $18.69 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $18.69 | — | — | 2026-04-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $18.73 | $24.75 | $21.04 | 2026-07-15 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS BLUE CHOICE [220107], EXCELLUS HEALTHY NY [220110], EXCELLUS HIGH PERFORMANCE [220103], EXCELLUS SIMPLY BLUE [220106] | $18.74 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS METAL TIERS [220102] | $18.74 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH-CHRIST HOSPITAL InpatientFacility | Qualcare | PPO/HMO/WC | $18.75 | $125.00 | — | 2026-09-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $18.75 | $125.00 | — | 2026-08-17 | 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 | $208.00 | $24.67 | 2026-03-22 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $18.92 | $25.00 | $21.25 | 2026-07-15 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $19.00 | $186.00 | $186.00 | 2025-11-06 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $19.12 | $22.50 | $19.13 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $19.12 | $22.50 | $19.13 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $19.12 | $22.50 | $19.13 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $19.12 | $22.50 | $19.13 | 2026-07-15 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Clinica Medica Familiar | Clinica Medica Familiar Medi Cal | $19.44 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Tustin Unified School District | Tustin Unified School District | $19.50 | $822.00 | $822.00 | 2026-11-02 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | In Custody-Ca Highway Patrol | In Custody-Ca Highway Patrol | $20.00 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| Hca Florida Largo Hospital Outpatient | Access 2 Healthcare Physicians | MGMCR | $20.28 | $397.58 | $397.58 | 2024-10-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $20.56 | — | — | 2026-04-01 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $20.67 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $20.67 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | CORVEL Workers Comp | Corvel Workers Compensation | $20.67 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Cofinity Aetna | Cofinity Aetna Worker Compensation | $20.67 | $432.00 | — | 2024-12-19 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Intercomp | Intercomp Wc | $20.94 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $21.04 | $24.75 | $21.04 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $21.04 | $24.75 | $21.04 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $21.04 | $24.75 | $21.04 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $21.04 | $24.75 | $21.04 | 2026-07-15 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | MULTIPLAN Workers Comp | Multiplan Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PRIME HEALTH SERVICES, INC. Workers Comp | Prime Health Services Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | THREE RIVERS PROVIDER NETWORK Workers Comp | Three Rivers Providers Network Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | AMERICAS CHOICE (ACPN) Workers Comp | Americas Choice Provider Workers Compensation | $21.11 | $432.00 | — | 2024-12-19 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Outpatient | MEDICAL GROUPS COMMERCIAL CONTRACTED | MCAL HMO | $21.16 | $250.26 | $250.26 | 2026-01-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | $21.25 | $25.00 | $21.25 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | $21.25 | $25.00 | $21.25 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | $21.25 | $25.00 | $21.25 | 2026-07-15 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | $21.25 | $25.00 | $21.25 | 2026-07-15 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $21.54 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER SELECT, INC. Workers Comp | Provider Select Workers Compensation | $21.54 | $432.00 | — | 2024-12-19 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $21.67 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $21.76 | $432.00 | — | 2024-12-19 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $21.76 | $432.00 | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | Worker Compensation | Workers Compensation | $21.76 | $432.00 | — | 2024-12-19 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Outpatient | PROVIDER NETWORK OF AMERICA Workers Comp | Provider Network Of America Workers Compensation | $21.76 | $432.00 | — | 2024-12-19 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Banner | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Arizona Complete (Allwell) | Medicare Advantage | $21.76 | $68.00 | $32.64 | 2025-03-27 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $22.10 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Preferred Health Network | Preferred Health Network Wc | $22.11 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Interplan | Interplan Wc | $22.57 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Caresource | Medicaid | $22.75 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Multiplan | Multiplan Wc | $23.27 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Outpatient | Miscellaneous Work Comp Hmo | Miscellaneous Work Comp Hmo | $23.27 | $1,984.14 | $1,984.14 | 2026-07-15 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Athens Administrators | Athens Administrators Ahmc Work Comp | $23.27 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Other Non Contracted Work Comp | Other Non Contracted Wc | $23.27 | $162.00 | $162.00 | 2026-11-03 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Outpatient | Miscellaneous Work Comp Hmo | Miscellaneous Work Comp Hmo | $23.27 | $1,984.14 | $1,587.31 | 2026-07-15 | 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] | $23.29 | — | — | 2026-04-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys Exchange | $23.65 | $165.60 | $61.27 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys All Payor | $23.65 | $165.60 | $61.27 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Network Access | $23.65 | $165.60 | $61.27 | 2024-12-26 | 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 ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Outpatient | Newport Mesa Unified School District | Newport Mesa Unified School District | $23.75 | $822.00 | $822.00 | 2026-11-02 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice And Community Care | Hospice And Community Care | $23.75 | $125.00 | $125.00 | 2026-10-30 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $24.60 | $32.50 | $27.63 | 2026-07-15 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | BCBS Of RI | BCBS RI Comm & Ins Exchange | $24.70 | $324.00 | — | 2024-12-19 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | BCBS Of RI | BCBS RI Medicare | $24.95 | $324.00 | — | 2024-12-19 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | United Healthcare | United Healthcare Medicaid Mco | $25.00 | $125.00 | $125.00 | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | United Healthcare | United Healthcare Medicaid Mco | $25.00 | $125.00 | $125.00 | 2026-07-15 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $25.30 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $25.30 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Medicare | $25.30 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $25.30 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $25.30 | $55.00 | $27.50 | 2026-10-17 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $26.03 | — | — | 2026-04-01 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | $26.49 | $35.00 | $29.75 | 2026-07-15 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Global Care Medical Group Ipa | Global Care Med Grp Medi Cal | $26.60 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Employee Health Systems Medical Group | Employee Health Systems Ppo | $26.60 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Bella Vista Medical Group Ipa | Bella Vista Med Grp Medi Cal | $26.60 | $133.00 | $133.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care 1St Medi Cal Hmo Cap Exceptional Care | Care 1St Medi Cal Hmo Cap Exceptional Care | $26.70 | $267.00 | $267.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care First Health Plan | Blue Shield Promise Healthplan Mcal | $26.70 | $267.00 | $267.00 | 2026-11-03 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $196.88 | $46.78 | 2025-01-19 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth | Medicaid | $27.16 | $173.34 | $104.00 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Take Charge | Medicaid | $27.16 | $173.34 | $104.00 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Medicaid Amerihealth Caritas | Caritas Medicaid | $27.16 | $173.34 | $104.00 | 2026-07-15 | 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.