97163 — Evaluation For Physical Therapy; Typically 45 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97163) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97163?code_type=OTHER
MLA (9th ed.)
“EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97163) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97163?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97163) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97163?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $98–$239 (25th–75th percentile) across 366 hospitals · 1,104 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 97163 — 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 |
|---|---|---|---|---|---|---|---|
| YALE-NEW HAVEN HOSPITAL Outpatient | Champus | All Plans | $1.15 | $712.14 | $420.16 | 2025-01-10 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.92 | — | — | 2026-05-27 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $646.16 | $549.24 | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $323.30 | — | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $646.16 | $549.24 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Aetna Commercial - Complete Rate Data (Hmo/Ppo/Pos) | — | $646.16 | $549.24 | 2026-05-23 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $15.53 | $712.14 | $363.19 | 2025-01-10 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $323.30 | $323.30 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $323.30 | $323.30 | 2026-05-22 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | — | — | — | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | — | — | — | 2026-05-27 | MRF ↗ |
| Wayne Hospital Both | Whc Medicare | 1035910 1 | — | $330.00 | $247.50 | 2026-05-14 | MRF ↗ |
| Wayne Hospital Both | Whc Medicare | 1035910 1 | — | $330.00 | $247.50 | 2026-05-22 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $35.00 | $350.00 | $350.00 | 2026-05-17 | MRF ↗ |
| WILLIAMSON MEMORIAL INC Both | Highmark Wv | Ppo | $36.12 | $172.00 | $86.00 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Humana Ma | All | — | $209.04 | $52.26 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Humana Ma | All | — | $209.04 | $52.26 | 2026-05-21 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $242.00 | $72.60 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEMORIAL INC Both | Standard_Charge|Aetna_Better_Health_Ky |Ppo| Negotiated_Dollar | — | $39.56 | $172.00 | $86.00 | 2026-05-09 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $39.79 | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $40.36 | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $40.36 | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $582.00 | $378.30 | 2026-05-22 | MRF ↗ |
| TANNER MEDICAL CENTER-EAST ALABAMA Both | Estimated_Amount |Veterans_Affairs|Ccn_Uhc | — | $41.25 | $125.00 | $75.00 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER-EAST ALABAMA Both | Estimated_Amount |Viva_Health|Medicare | — | $41.25 | $125.00 | $75.00 | 2026-05-06 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $41.35 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Champus | All Plans | $41.64 | $712.14 | $256.37 | 2026-01-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $323.30 | $323.30 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $323.30 | $323.30 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $323.30 | $323.30 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $646.16 | $549.24 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $646.16 | $549.24 | 2026-05-23 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Ppo | — | $217.00 | $210.49 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Hmo | — | $217.00 | $210.49 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Ppo | — | $217.00 | $210.49 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Hmo | — | $217.00 | $210.49 | 2026-05-18 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $209.04 | $52.26 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $209.04 | $52.26 | 2026-05-21 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $43.76 | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Bcbs And Health Advantage Ma | All | — | $209.04 | $52.26 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Bcbs And Health Advantage Ma | All | — | $209.04 | $52.26 | 2026-05-21 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $323.30 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $323.30 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $323.30 | $323.30 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $323.30 | $323.30 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $323.30 | $323.30 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $323.30 | — | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEMORIAL INC Both | Highmark Wv | Ppo | $47.77 | $227.47 | $113.74 | 2026-05-09 | MRF ↗ |
| Allied Services Institute of Rehabilitation Outpatient | Broadspire | Workers Compensation | — | $344.00 | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Arkansas Total Care | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana Sc | Managed Medicaid | $49.04 | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Select Health | Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prisma Health Upstate Network | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana Sc | Managed Medicaid | $49.04 | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare Community Plan Nc | Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Peach State Health Plan | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Absolute Total Care | Managed Medicaid | $49.04 | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Nc | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Health Tailored Plan | Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Caresource Of Ga | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Hix | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Medicaid | $49.04 | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Georgia | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of North Carolina | Manage Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prime Health Services | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Absolute Total Care | Managed Medicaid | $49.04 | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Select Health Of Sc | Medicaid | $49.04 | $460.00 | $184.00 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Soonercare | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Atc | Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Nc | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $49.04 | $460.00 | $184.00 | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Wellcare | Medicaid | $49.04 | $460.00 | $184.00 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Select Health Of Sc | Managed Medicaid | $49.04 | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Ga | Managed Medicaid | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Medcost | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Sc | Managed Medicaid | $49.04 | $432.10 | $432.10 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | First Choice | Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Caritas Of Nc | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Molina Healthcare Of Ny | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice Medicaid Advantage | $49.04 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of New York | Managed Medicaid | — | $477.80 | $477.80 | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $323.30 | $323.30 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $323.30 | $323.30 | 2026-05-22 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $49.48 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $49.48 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $50.42 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $50.60 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $50.60 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $50.60 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $50.60 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $50.70 | $712.14 | $256.37 | 2026-01-01 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Cms | Medicare | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Denver Health | — | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Aetna | Golden Medicare Golden Choice | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Selecthealth | Medicare | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Wellcare | Medicare Advantage | $51.28 | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | [United Healthcare | — | — | $182.00 | $127.40 | 2026-05-06 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmaa | All Commercial Plans | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Devoted | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | All Commercial Plans | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $496.00 | $193.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $51.57 | $496.00 | $193.00 | 2026-05-08 | 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.