97127 — Ther Ivntj W/focus Cog Funcj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ther ivntj w/focus cog funcj (HCPCS 97127) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97127?code_type=HCPCS
MLA (9th ed.)
“Ther ivntj w/focus cog funcj (HCPCS 97127) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97127?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Ther ivntj w/focus cog funcj (HCPCS 97127) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97127?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$150 (25th–75th percentile) across 369 hospitals · 1,263 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97127 — 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 |
|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | BCBS [10301] | All BC HMO UM [11] Plans | $0.53 | $209.00 | $209.00 | 2026-03-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.85 | $80.85 | $48.51 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.85 | $80.85 | $48.51 | 2025-08-11 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $3.65 | $27.00 | $20.25 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $5.60 | $27.00 | $20.25 | 2026-01-16 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Default | — | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare MCD Rep DOS lt 2/1/19 | Medicaid Replacement | — | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan MCD Rep | Default | — | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | WellCare Health Plan MCD Rep | Medicaid Replacement | — | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Medicaid Replacement | — | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region DOS lt 01012025 | Default | $6.30 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan MCD Rep | Default | — | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | WellCare Health Plan MCD Rep | Medicaid Replacement | — | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare MCD Rep DOS lt 2/1/19 | Medicaid Replacement | — | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Default | — | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicaid Florida | Medicaid Replacement | — | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region DOS lt 01012025 | Default | $6.30 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan Mcd Rep | Default | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare Mcd Rep Dos Lt 2/1/19 | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Magellan Health Services | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region Dos Lt 01012025 | Default | $6.43 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare B Fl Jn | Default | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region Dos Lt 01012025 | Default | $6.43 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare Mcd Rep Dos Lt 2/1/19 | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Magellan Health Services | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare B Fl Jn | Default | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan Mcd Rep | Default | — | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | Network Access | $7.40 | $51.84 | $19.18 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys Exchange | $7.40 | $51.84 | $19.18 | 2024-12-26 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | NovaSys Health Inc | NovaSys All Payor | $7.40 | $51.84 | $19.18 | 2024-12-26 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $7.58 | — | — | 2026-01-29 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Blue Cross Blue Shield Of Fl Florida Blue | Medicare Advantage | $7.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Blue Cross Blue Shield Of Fl Florida Blue | Medicare Advantage | $7.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $8.07 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A Fl Jn | Default | $8.07 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $8.07 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A Fl Jn | Default | $8.07 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A FL JN | Default | $8.33 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | United Healthcare | Medicare Advantage | $8.33 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A FL JN | Default | $8.33 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $8.33 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $8.33 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $8.33 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | United Healthcare | Medicare Advantage | $8.33 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $8.33 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER | Multiplan Network_Multiplan Network | — | $8.80 | $110.00 | $77.00 | 2026-07-30 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Medicare A AR J7 | Default | $10.37 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Humana | Medicare Advantage | $10.37 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Primewell Vantage Health Plan | Medicare Advantage | $10.37 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Aetna | Medicare Advantage | $10.58 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $10.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $10.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $10.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $10.70 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $10.84 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $10.84 | — | — | 2025-12-27 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $11.05 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $11.05 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $11.37 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Multiplan/PHCS | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $11.40 | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $11.40 | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Cigna | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Advantage HMO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | PPO | — | $114.00 | $114.00 | 2026-04-15 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Aetna | Default | $11.64 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| LEVI HOSPITAL OutpatientFacility | Aetna Behavioral Health Medicare Advantage | Medicare Advantage | $11.92 | $51.84 | $19.18 | 2024-12-26 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $12.15 | $27.00 | $20.25 | 2026-01-16 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $13.08 | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Fidelis | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Individual Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Prime Health Services | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Prime Health Services | Telemedicine Program | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Fidelis | Managed Medicaid | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Logistic Health Inc. | Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| CHICOT MEMORIAL MEDICAL CENTER Both | Ambetter | Default | $13.22 | $26.45 | $26.45 | 2026-03-31 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $13.28 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $13.28 | $26.55 | $18.59 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $13.28 | $26.55 | $26.55 | 2026-08-12 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $13.28 | $26.55 | $18.59 | 2026-08-12 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $14.13 | — | — | 2026-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $14.39 | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $65.40 | $52.32 | 2025-01-28 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $14.61 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $14.61 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $14.61 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $14.61 | — | — | 2025-07-22 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $14.75 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.90 | — | — | 2025-07-22 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | Aetna | Commercial | $15.00 | $75.00 | $45.00 | 2026-07-19 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $15.21 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $15.39 | — | — | 2026-06-27 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $15.73 | $98.31 | $39.33 | 2026-02-04 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.76 | — | — | 2026-02-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $15.92 | — | — | 2025-07-22 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $16.72 | $88.00 | $88.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Triwest | Medicare Advantage | $16.72 | $88.00 | $88.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Molina | Medicare Advantage | $16.72 | $88.00 | $88.00 | 2026-07-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $16.80 | $168.00 | $168.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $16.80 | $168.00 | $168.00 | 2026-04-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | $16.85 | $50.00 | $30.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | $16.85 | $50.00 | $30.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | $16.85 | $50.00 | $30.00 | 2026-07-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Cigna | PPO | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage HMO | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | PPO | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | — | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $17.30 | $173.00 | $173.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $173.00 | $173.00 | 2026-04-15 | 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.